Individual
CRYSTAL ELAINE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
961 SPRING CREEK RD STE 300, CHATTANOOGA, TN 37412
(423) 893-9787
Mailing address
645 PAUL HUFF PARKWAY NW, SUITE 105, CLEVELAND, TN 37312
(423) 790-4420
(423) 790-7750
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2666
TN
Other
Enumeration date
12/04/2014
Last updated
06/14/2018
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