Individual
DR. MYMOON ANTONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1117
(334) 293-8000
Mailing address
8913 DALLINGER CT, MONTGOMERY, AL 36117-0929
(325) 660-8962
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48279
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2021
Last updated
03/12/2026
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