Individual
CLAUDE E. MOULEDOUS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4444 DEMETROPOLIS RD, MOBILE, AL 36619-9602
(251) 219-3758
Mailing address
9827 BELLA DR, DAPHNE, AL 36526-6259
(770) 576-9763
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00023677
AL
207R00000X
Internal Medicine Physician
060128
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222797307A
—
GA
Enumeration date
07/26/2006
Last updated
04/29/2022
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