Search › Maryland › 101YP2500X
Champ Moultrie
NPI 1699437822 · on the registry since 2021
Practice
- Address
- 9660 Iron Leaf Trl
Laurel, MD 20723 - Phone
- (443) 687-6827
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-05
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 Maryland