Individual
JEFFREY LANG MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4200 N ARMENIA AVE STE 1-2, TAMPA, FL 33607-6438
(813) 877-4811
(813) 872-8978
Mailing address
2400 BELLEVUE RD, STE 21A, DUBLIN, GA 31021-2890
(478) 328-0281
(478) 328-0438
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3652
GA
363AM0700X
Medical Physician Assistant
3652
GA
363AM0700X
Medical Physician Assistant
Primary
PA9110559
FL
363AS0400X
Surgical Physician Assistant
3652
GA
Other
Enumeration date
02/13/2007
Last updated
09/15/2020
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