IndividualActive
Arnrae Moultrie, PA
NPI 1497731079 · Physician Assistant · Tucker, GA
Provider details
- NPI number
- 1497731079
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Mailing address
1455 Montreal Rd
Tucker, GA 30084-8100
Registry dates
- Enumerated
- 2005-12-15
- Last updated
- 2023-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.