Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moultrie Healthway, LLC

Organization Internal Medicine Physician · NPI 1215225065

Moultrie Healthway, LLC is an Internal Medicine Physician in Moultrie, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9 Hospital Park
Moultrie, GA 31768-6772
Phone: (229) 890-1442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 65307 (GA)

Record details

NPI number1215225065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeong Seo — Physician · (229) 890-1442
NPI enumeratedJuly 14, 2011
Last updated in NPPESJuly 14, 2011
Mailing address9 Hospital Park, Moultrie, GA 31768-6772

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