Individual
MELANIE MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
423 S COLUMBIA AVE, RINCON, GA 31326
(912) 826-8860
(912) 826-2813
Mailing address
602 E 72ND ST, SAVANNAH, GA 31405-4913
(912) 819-7878
(912) 819-7850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39861
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64065360
—
KY
05
—
64065360
—
SC
Enumeration date
01/23/2006
Last updated
06/04/2018
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