Individual
JOHN MOULTRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6115 PEACHTREE DUNWOODY ROAD, SUITE 350, SANDY SPRINGS, GA 30328
(678) 320-3630
(404) 256-0121
Mailing address
6115 PEACHTREE DUNWOODY ROAD, SUITE 350, ATLANTA, GA 30328
(678) 320-3630
(404) 256-0121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
075999
GA
Other
Enumeration date
05/13/2013
Last updated
09/02/2016
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