| Summer Moon, PA-C | |
|
1465 Laney Walker Blvd, Pavilion Ii, Af 1040, Augusta, GA 30912-0002 | |
| (706) 721-3448 | |
| (706) 721-7468 |
| Full Name | Summer Moon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1465 Laney Walker Blvd, Augusta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427678846 | NPI | - | NPPES |
| PA9113330 | Other | FL | FLORIDA PA LICENSE |
| 5237 | Other | SC | SOUTH CAROLINA PA LICENSE |
| 12183 | Other | GA | GEORGIA PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Summer Moon, PA-C 1465 Laney Walker Blvd, Af1040, Augusta, GA 30912 Ph: (706) 721-9619 | Summer Moon, PA-C 1465 Laney Walker Blvd, Pavilion Ii, Af 1040, Augusta, GA 30912-0002 Ph: (706) 721-3448 |
Rachel Mccall Dawkins, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: Doctors Hospital Of Augusta, 3651 Wheeler Rd., Augusta, GA 30909 Phone: 706-651-6080 | |
Robert G Stowers, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3291 Fax: 706-721-1459 | |
Mrs. Melanie Grace Bowen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2922 Professional Pkwy, Augusta, GA 30907 Phone: 706-556-2767 | |
Andrea N Sarata, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8375 | |
Amanda Marie Tyra, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St # Ad-2226, Augusta, GA 30912 Phone: 706-446-4887 Fax: 706-723-0382 | |
Ms. Catherine Pringle, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1303 Dantignac St, Augusta, GA 30901 Phone: 706-821-2944 | |
Mr. Derek Aaron Lafont, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3696 Wheeler Rd, Augusta, GA 30909 Phone: 706-736-1830 Fax: 706-650-7553 |