Individual
JUSTIN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 756-1368
Mailing address
23203 BELTED KINGFISHER TRL, SPRING, TX 77389-1594
(630) 843-1481
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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