Individual
DR. JOSE EMMANUEL MOULIER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1061 HARMON AVE, STE 1003, FORT STEWART, GA 31314-5604
(912) 435-6100
(912) 435-6053
Mailing address
821 YOUNG WAY, RICHMOND HILL, GA 31324-7239
(912) 756-4186
(912) 435-6053
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
6177
PR
Other
Enumeration date
07/29/2005
Last updated
07/08/2007
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