Individual
GAIL ANNETTE MOULTRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
514 W MAPLE ST STE 1206, CUMMING, GA 30040-2536
(470) 835-4871
Mailing address
514 W MAPLE ST STE 1206, CUMMING, GA 30040-2536
(470) 835-4871
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN058950
GA
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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