Colquitt Regional Dermatology, LLC
Colquitt Regional Dermatology, LLC is a Dermatology Physician in Moultrie, Georgia. Registered with an NPI since 2014.
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
760 26th Ave SEMoultrie, GA 31768-6799
Phone: (229) 502-9710
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1649683897 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Colquitt Regional Medical, Inc |
| Authorized official | Amanda Roberts — Provider Enrollment Coordinator · (229) 891-9131 |
| NPI enumerated | June 5, 2014 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 760 26th Ave Se, Moultrie, GA 31768-6799 |
Other providers in Moultrie
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Barbara Eileen Ebert, MD
760 26th Ave SE, Moultrie, GA 31768-6799 · (229) 502-9710