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

Moultrie Urological Clinic, Inc

Organization Specialist · NPI 1861695579

Moultrie Urological Clinic, Inc is a Specialist in Moultrie, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 Hospital Park
Moultrie, GA 31768-6700
Phone: (229) 985-3066
Fax: (229) 890-2092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 031557 (GA)

Record details

NPI number1861695579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maha Baddour — Practice Manager · (229) 985-3066
NPI enumeratedJune 8, 2007
Last updated in NPPESMarch 24, 2010
Mailing address2 Hospital Park, Moultrie, GA 31768-6700

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