Individual
REBEKAH MOULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205A BELLE MEADE PT, FLOWOOD, MS 39232-3311
(601) 200-5678
(601) 992-0096
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-5678
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18671
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07121372
—
MS
Enumeration date
09/26/2006
Last updated
10/09/2025
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