Individual
MONICA LANCASTER MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1212 E UNION ST, VIENNA, GA 31092-7545
(229) 268-8865
(229) 268-8864
Mailing address
204 N WESTOVER BLVD, ALBANY, GA 31707-2983
(229) 888-6559
(229) 436-4107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008049
GA
Other
Enumeration date
08/05/2016
Last updated
01/30/2017
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