Moultrie Urology ASC
Moultrie Urology ASC is an Ambulatory Surgical Clinic/Center in Moultrie, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
Practice location Address checks out
2 Hospital ParkMoultrie, 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
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 035-219 (GA) |
|---|
Record details
| NPI number | 1700089695 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maha Baddour — Office Manager · (229) 985-3066 |
| NPI enumerated | June 7, 2007 |
| Last updated in NPPES | January 8, 2010 |
| Mailing address | 2 Hospital Park, Moultrie, GA 31768-6700 |