Individual
DR. JAMES R MOULTON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2069 TERON TRCE, SUITE 100, DACULA, GA 30019-1665
(770) 995-9100
(770) 822-9444
Mailing address
2069 TERON TRACE, SUITE 100, DACULA, GA 30019-8716
(770) 995-9100
(770) 822-9444
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
043436
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000750362B
—
GA
01
—
309499
WELLCARE MEDICAID
GA
01
—
4804710
CIGNA
GA
01
—
5554055
AETNA
GA
Enumeration date
12/17/2007
Last updated
02/10/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us