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1215618640
MOULTRIE MEDICAL PC
BROOKHAVEN, GA
NPI
1215618640
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Entity Type
Organization
Authorized Contact
JOHN MOULTRIE
Owner
256-302-3505
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
MOULTRIE MEDICAL PC
2970 CLAIRMONT RD NE STE 210
BROOKHAVEN, GA 30329-4414
Phone number: 256-302-3505
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Mailing Address
MOULTRIE MEDICAL PC
2847 CEDAR CANYON CT NE
ATLANTA, GA 30345-4021
Phone number: 256-302-3505
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