Individual provider · Type 1 NPI

Crystal Elaine Moon, PA-C

Medical Physician Assistant · Chattanooga, TN

NPI number 1912304015 Active

Practice location

961 Spring Creek Rd Ste 300
Chattanooga, TN 37412

Call (423) 893-9787 Map

Mailing address

645 Paul Huff Parkway NW, Suite 105
Cleveland, TN 37312

Other practice locations

  • 645 Paul Huff Parkway NW, Suite 105, Cleveland, TN 37312 · (423) 790-4420

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2666 (TN)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1912304015

Crystal Elaine Moon, PA-C's National Provider Identifier is 1912304015, issued on Dec 4, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chattanooga, TN. The record was last updated on Jun 14, 2018.