STEPHANIE YUI MOON NPI 1750945069

NPI Information

  • NPI: 1750945069
  • Provider Name: STEPHANIE YUI MOON
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 1640 POWERS FERRY RD SE
    MARIETTA, GA
    ZIP 30067
  • Phone: (770) 980-0000

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NPI Details

Stephanie Yui Moon is a family medicine in Marietta, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Stephanie Yui Moon NPI is 1750945069. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1640 POWERS FERRY RD SE
MARIETTA, GA
ZIP 30067-491
Phone: (770) 980-0000

The enumeration date for this NPI number is 4/23/2019 and was last updated on 11/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine10595GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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