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NPI 1265838486

IndividualActive

Addie Moultrie

NPI 1265838486 · Registered Nurse · Lexington, SC

Provider details

NPI number: 1265838486
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Sex: Female
Sole proprietor: Yes
License: 49640 (SC)

Practice location

301 Palmetto Park Blvd

Lexington, SC 29072-7872

Phone: (803) 996-1500

More SC providers

Mailing address

1018 Pine St

Cayce, SC 29033-3408

Registry dates

Enumerated: 2014-11-16
Last updated: 2014-11-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Addie Moultrie — NPI 1265838486, Lexington, SC | NPI Central