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MONICA LANCASTER MOON PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1275087439

Individual Registrant:
 MONICA LANCASTER MOON PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1212 E UNION ST  VIENNA, GA 31092-7545 US
Tel: 229-268-8865  Fax: 229-268-8864

Contact information for business:
204 N WESTOVER BLVD  ALBANY, GA 31707-2983 US
Tel: 229-888-6559  Fax: 229-436-4107

Registration Information:
NPI: 1275087439
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
GA008049

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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