Moultrie, Marissa Michelle

Moultrie, Marissa Michelle is an individual health care provider with primary practice located at 125 Hospital Center Blvd Ste 110 , Stafford VA 22554-6202. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Moultrie, Marissa Michelle can be contacted via phone (540) 602-6500.

Contact Information

Primary practice address
125 Hospital Center Blvd Ste 110 Stafford VA 22554-6202
Phone: (540) 602-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101265808 Virginia

Profile Details

NPI number 1235591769
LBN Legal business name Moultrie, Marissa Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2016
Last updated Jun 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers