| Kyong Rok Moon, MD | |
|
1657 N Expressway, Griffin, GA 30223-1276 | |
| (770) 228-2641 | |
| (770) 467-9764 |
| Full Name | Kyong Rok Moon |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 23 Years |
| Location | 1657 N Expressway, Griffin, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326263401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 63374 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstreet Of Georgia Pc | 7517126279 | 440 |
| Entity Name | United Emergency Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326007915 PECOS PAC ID: 5799697272 Enrollment ID: O20040819000058 |
| Entity Name | Wellstreet Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyong Rok Moon, MD 1080 Elle Ct Se, Smyrna, GA 30080-1906 Ph: (404) 416-5920 | Kyong Rok Moon, MD 1657 N Expressway, Griffin, GA 30223-1276 Ph: (770) 228-2641 |
Mr. Kenneth Dale Autry, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 726 S 8th St, Griffin, GA 30224 Phone: 770-228-2273 | |
Vicki Lyndall Van, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 747 S Hill St, Griffin, GA 30224 Phone: 770-228-5407 | |
Mrs. Ashley Newby Finney, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1009 Holliday Pass, Griffin, GA 30223 Phone: 678-588-3099 | |
David Anthony De La Sierra, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 528 S 8th St, Griffin, GA 30224 Phone: 770-467-1224 Fax: 770-467-1225 | |
Dr. Turner Mckay Grogan, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 509 N Expressway, Griffin, GA 30223 Phone: 943-202-7790 Fax: 470-986-7152 | |
James Gore, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1657 N Expressway, Griffin, GA 30223 Phone: 770-228-2641 Fax: 770-467-9764 |