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Individual

MS. BRENDA G MOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C-NP

Contact information

Practice address
2400 HOSPITAL RD # 62-221, TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 724-6858
Mailing address
657 E THACH AVE, AUBURN, AL 36830-5543
(334) 727-0550
(334) 724-6858

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-066882
AL

Other

Enumeration date
08/19/2006
Last updated
07/21/2022
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