NPI 1083078315

Jung Joo Moon, MDMMS

Practitioner General Practice Physician Atlanta, GA

Practice location

Address: 2875 Lakewood Ave SW # A5, Atlanta, GA 30315-5801
Phone: (713) 904-0106
Fax: (862) 227-4081
Mailing address: 2875 Lakewood Ave SW STE 1138, Atlanta, GA 30315-5801

Registered specialties (4)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 90144 (GA)

Other General Practice providers in Georgia →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence 646517 (TX)

Other Student in an Organized Health Care Education/Training Program providers in Georgia →

Anatomic Pathology & Clinical Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 70750 (MN)

Other Pathology providers in Georgia →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 76451 (WI)

Registry record

NPI: 1083078315
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2016
Record last updated: 16 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.