Individual
SUSAN S MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 851-6325
Mailing address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 851-6325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042092
GA
208M00000X
Hospitalist Physician
Primary
042092
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000797761E
—
GA
Enumeration date
08/21/2006
Last updated
01/18/2017
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