Individual
JENNIFER MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5315 WINDWARD PKWY, ALPHARETTA, GA 30004-8915
(678) 393-2025
Mailing address
6190 IMES WAY, DULUTH, GA 30097-8472
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003043
GA
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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