Individual
BRITTANY TEARO MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMSC
Contact information
Practice address
1100 JOHNSON FY RD NE STE 410, ATLANTA, GA 30342-1709
(404) 847-0664
(404) 250-1694
Mailing address
1100 JOHNSON FY RD NE STE 410, ATLANTA, GA 30342-1709
(404) 847-0664
(404) 250-1694
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10356
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2019
Last updated
05/15/2023
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