Search › Georgia › 163W00000X
Heeseo Moon
NPI 1356250112 · on the registry since 2026
Practice
- Address
- 548 Brookside Dr
Macon, GA 31210 - Phone
- (434) 291-4257
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia