MEDICARE: DR. JOHNNIE MOULTRIE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0090-00780	NC

General Provider Information

NPI Number	:	1609882117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHNNIE MOULTRIE MD

Provider Business Mailing Address
First Line	:	PO BOX 41209
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28309-1209
Country	:	US
Telephone Number	:	910-609-6448
Fax Number	:	910-609-5070

Provider Business Practice Location Address
First Line	:	4092 PROFESSIONAL DR
Second Line	:
City	:	HOPE MILLS
State	:	NC
Zip	:	28348-2366
Country	:	US
Telephone Number	:	910-424-0123
Fax Number	:	910-424-3852

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	08/19/2025

Similar Medicare Providers

1083606685 — DR. SHIRLEY ELBINIAS-TAN MD
Practice Location Address:

4092 PROFESSIONAL DR
HOPE MILLS, NC
28348-2366

Practice Phone: 910-615-3120
Practice Fax: 910-423-6050

1639413461 — MRS. JENNIFER SMITH FNP
Practice Location Address:

4092 PROFESSIONAL DR
HOPE MILLS, NC
28348-2366

Practice Phone: 910-615-3120
Practice Fax: 910-423-6050

1144220856 — DR. SCOTT ANTHONY MARINELLI DO
Practice Location Address:

5346 CLUBHOUSE LN
HOPE MILLS, NC
28348-9794

Practice Phone: 910-483-2448
Practice Fax:

1093707598 — DR. DEBORAH FIGUEROA MD
Practice Location Address:

3077 N MAIN ST , SUITE 103
HOPE MILLS, NC
28348-1735

Practice Phone: 910-339-2018
Practice Fax: 910-339-2051

1174512933 — BARBARA DUST KEITH F.N.P.
Practice Location Address:

1249 CHICKEN FOOT RD
HOPE MILLS, NC
28348-7525

Practice Phone: 910-423-1278
Practice Fax: 910-423-2547

1487626263 — DR. MARY A MASTERS O.D.
Practice Location Address:

3701 S MAIN ST
HOPE MILLS, NC
28348-1958

Practice Phone: 910-423-0700
Practice Fax: 910-423-0974

Directions to “ DR. JOHNNIE MOULTRIE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.