| Colquitt Regional Infectious Disease Llc | |
|
6 Hospital Park Moultrie GA 31768-6700 | |
| (229) 891-9009 | |
| Not Available |
| Full Name | Colquitt Regional Infectious Disease Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 6 Hospital Park, Moultrie, Georgia |
| Authorized Official Name and Position | Douglas Strange (CFO) |
| Authorized Official Contact | 2298903531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colquitt Regional Infectious Disease Llc Po Box 2438 Moultrie GA 31776-2438 Ph: (229) 891-9009 | Colquitt Regional Infectious Disease Llc 6 Hospital Park Moultrie GA 31768-6700 Ph: (229) 891-9009 |
| NPI Number | 1336665371 |
|---|---|
| Provider Enumeration Date | 08/22/2017 |
| Last Update Date | 08/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336665371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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