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Moultrie Urology Asc
Ambulatory Surgical Clinic/Center in Moultrie, Georgia
NPI 1700089695

Moultrie Urology Asc is an Ambulatory Surgical Clinic/Center based in Moultrie, GA and is specialized in Ambulatory Surgical. Moultrie Urology Asc practices in Moultrie, GA. The NPI Number for Moultrie Urology Asc is 1700089695 and holds a License No. 035-219 (Georgia).

The current practice location address for Moultrie Urology Asc is 2 Hospital Park, Moultrie, GA and can be reached out via phone at 229-985-3066 and via fax at 229-890-2092.

Location: 2 Hospital Park, Moultrie, GA, 31768-6700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700089695
Provider Name
Moultrie Urology Asc
Credential
Provider Entity Type
Organization
Address
2 Hospital Park, Moultrie, GA, 31768-6700
Phone Number
229-985-3066
Fax Number
229-890-2092
Provider Enumeration Date
06/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00919619A 05 GA
institution
Provider Business Practice Location Address Details
Address
2 Hospital Park
City
Moultrie
State
Georgia
Zip
31768-6700
Phone Number
229-985-3066
Fax Number
229-890-2092
person
Provider Business Mailing Address Details
Address
2 Hospital Park
City
Moultrie
State
Georgia
Zip
31768-6700
Phone Number
229-985-3066
Fax Number
229-890-2092
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
035-219 (Georgia)
Definition
Definition to come...
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