Individual
DR. MICHELLE JONES-MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
853 NORTH CHURCH STREET, SUITE 510, SPARTANBURG, SC 29303-3098
(864) 560-6193
Mailing address
853 N CHURCH ST, SUITE 510, SPARTANBURG, SC 29303-3098
(864) 560-1558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL82178
SC
Other
Enumeration date
07/04/2019
Last updated
08/02/2019
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