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Colquitt Regional Urology, Llc
Urology Physician in Moultrie, Georgia
NPI 1215209416

Colquitt Regional Urology, Llc is a Urology Physician based in Moultrie, GA. Colquitt Regional Urology, Llc practices in Moultrie, GA. The NPI Number for Colquitt Regional Urology, Llc is 1215209416 and holds a License No. 67024 (Georgia).

The current practice location address for Colquitt Regional Urology, Llc is 115 31St Ave Se, Moultrie, GA and can be reached out via phone at 229-891-9148 and via fax at 229-217-4910.

Location: 115 31St Ave Se, Moultrie, GA, 31776-2876
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215209416
Provider Name
Colquitt Regional Urology, Llc
Credential
Provider Entity Type
Organization
Address
115 31St Ave Se, Moultrie, GA, 31776-2876
Phone Number
229-891-9148
Fax Number
229-217-4910
Provider Enumeration Date
02/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202G701316 01 GA MEDICARE
institution
Provider Business Practice Location Address Details
Address
115 31St Ave Se
City
Moultrie
State
Georgia
Zip
31768-6771
Phone Number
229-891-9148
Fax Number
229-217-4910
person
Provider Business Mailing Address Details
Address
115 31St Ave Se
City
Moultrie
State
Georgia
Zip
31768-6771
Phone Number
229-891-9148
Fax Number
229-217-4910
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
67024 (Georgia)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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