Individual
JAMES HOWARD MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
210 W STONE AVE, GREENVILLE, SC 29609-5452
(678) 654-1560
Mailing address
PO BOX 1718, CARTERSVILLE, GA 30120-1679
(678) 654-1560
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
SCRQSA#00-8504
SC
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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