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Moultrie Urological Clinic, Inc
Specialist in Moultrie, Georgia
NPI 1861695579

Moultrie Urological Clinic, Inc is a Specialist based in Moultrie, GA. Moultrie Urological Clinic, Inc practices in Moultrie, GA. The NPI Number for Moultrie Urological Clinic, Inc is 1861695579 and holds a License No. 031557 (Georgia).

The current practice location address for Moultrie Urological Clinic, Inc 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
1861695579
Provider Name
Moultrie Urological Clinic, Inc
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
06/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00400518A 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
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
031557 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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