Individual
JIN MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 E 66TH ST, SAVANNAH, GA 31405-4519
(912) 662-0088
Mailing address
134 LEE LN, COMMERCE, GA 30529-3601
(706) 983-0413
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
17430
GA
Other
Enumeration date
04/16/2025
Last updated
05/02/2025
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