Andrea Moon, | |
107 Fahm St, B, Savannah, GA 31401-2391 | |
(912) 651-2253 | |
Not Available |
Full Name | Andrea Moon |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 107 Fahm St, Savannah, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902209141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN124107 (Georgia) | Primary |
Entity Name | Liberty County Board Of Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245546704 PECOS PAC ID: 6204724420 Enrollment ID: O20040309000899 |
Entity Name | Glynn County Board Of Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164429692 PECOS PAC ID: 4385532456 Enrollment ID: O20040309001226 |
Entity Name | Chatham County Board Of Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164503124 PECOS PAC ID: 1658367727 Enrollment ID: O20040423000125 |
Mailing Address | Practice Location Address |
---|---|
Andrea Moon, 107 Fahm St, B, Savannah, GA 31401-2391 Ph: (912) 651-2253 | Andrea Moon, 107 Fahm St, B, Savannah, GA 31401-2391 Ph: (912) 651-2253 |
Yasmeen Nixon, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 24 Oglethorpe Professional Blvd, Savannah, GA 31406 Phone: 912-644-5812 | |
Deanna Lynn Quincy, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1395 Eisenhower Dr, Savannah, GA 31406 Phone: 912-356-2158 | |
Angela M Wilkinson, CRNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 900 Mohawk Street, Suite A, Savannah, GA 31419 Phone: 912-920-2090 Fax: 912-920-4114 | |
Joshua R Kohl, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 5353 Reynolds St, Savannah, GA 31405 Phone: 912-355-7214 Fax: 912-354-2479 | |
Ms. Audrey Juliet Mathews, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 107b Fahm St, Savannah, GA 31401 Phone: 912-655-8272 | |
Carli A Boatright, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4750 Waters Ave Suite 206, Savannah, GA 31404 Phone: 912-350-5915 | |
Amanda Lewis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 459 Mall Blvd Apt 99, Savannah, GA 31406 Phone: 912-220-4435 |