NPI 1104334275

Marcus Antwone Moon

Practitioner Neonatal/Pediatric Registered Respiratory Therapist Conyers, GA

Practice location

Address: 1825 Parker Rd SE APT 105, Conyers, GA 30094-2644
Phone: (404) 547-9678

Registered specialties

Neonatal/Pediatric Registered Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2279P3900X Licence 007330 (GA)

Other Respiratory Therapist, Registered providers in Georgia →

Registry record

NPI: 1104334275
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jan 2018
Record last updated: 11 Jan 2018

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.