Dr James R Moulton Ii, MD | |
2069 Teron Trce, Suite 100, Dacula, GA 30019-1665 | |
(770) 995-9100 | |
(770) 822-9444 |
Full Name | Dr James R Moulton Ii |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 2069 Teron Trce, Dacula, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023291713 | NPI | - | NPPES |
309499 | Other | GA | WELLCARE MEDICAID |
5554055 | Other | GA | AETNA |
4804710 | Other | GA | CIGNA |
000750362B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 043436 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr James R Moulton Ii, MD 2069 Teron Trace, Suite 100, Dacula, GA 30019-8716 Ph: (770) 995-9100 | Dr James R Moulton Ii, MD 2069 Teron Trce, Suite 100, Dacula, GA 30019-1665 Ph: (770) 995-9100 |
Dr. Kenneth M Sussman, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 768 Glen Valley Way, Dacula, GA 30019 Phone: 770-513-3990 | |
Dr. Enoch Marrell Lowe, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3613 Braselton Hwy, Suite 104, Dacula, GA 30019 Phone: 678-546-3027 Fax: 678-546-3356 |