Kevin Moultrie

NPI 1306290069 · on the registry since 2016 · sole proprietor

Practice

Address: 12182 Highway 92
Woodstock, GA 30188
Phone: (770) 591-9402
Organisation at this address: Rediclinic Us, Llc
National Vision, Inc.
Wal-Mart Stores East Lp
Wal-Mart Stores Easts, Lp.
Sidney A. Gottlieb, O.D., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: Pharmacy Technician
183700000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia