Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marcus Antwone Moon

Individual provider Neonatal/Pediatric Registered Respiratory Therapist · NPI 1104334275

Marcus Antwone Moon is a Neonatal/Pediatric Registered Respiratory Therapist in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018

Practice location Address checks out

1825 Parker Rd SE Apt 105
Conyers, GA 30094-2644
Phone: (404) 547-9678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal/Pediatric Registered Respiratory Therapist (primary) Taxonomy 2279P3900X · Licence 007330 (GA)

Record details

NPI number1104334275
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 11, 2018
Last updated in NPPESJanuary 11, 2018
Mailing address1825 Parker Rd Se Apt 105, Conyers, GA 30094-2644