| 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 |