Moon, Davis Sungwhan

Moon, Davis Sungwhan is an sole proprietor health care provider with primary practice located at 4750 Waters Ave Ste 500 , Savannah GA 31404-6261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Moon, Davis Sungwhan can be contacted via phone (912) 352-8346.

Contact Information

Primary practice address
4750 Waters Ave Ste 500 Savannah GA 31404-6261
Fax: (912) 355-5515
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 84913 South Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 74207 Georgia

Profile Details

NPI number 1043455306
LBN Legal business name Moon, Davis Sungwhan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2008
Last updated Sep 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043455306 NPPES
Georgia MEDICAID 003223457H
Georgia MEDICAID 003223457A

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