| Colquitt Regional Internal Medicine | |
|
6 Hospital Park Moultrie GA 31768-6700 | |
| (229) 891-9009 | |
| (229) 890-1282 |
| Full Name | Colquitt Regional Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Hospital Park, Moultrie, Georgia |
| Authorized Official Name and Position | Patricia Sutherland (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 2298919131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colquitt Regional Internal Medicine Po Box 2438 Moultrie GA 31776-2438 Ph: (229) 891-9009 | Colquitt Regional Internal Medicine 6 Hospital Park Moultrie GA 31768-6700 Ph: (229) 891-9009 |
| NPI Number | 1629485032 |
|---|---|
| Provider Enumeration Date | 07/17/2014 |
| Last Update Date | 07/28/2023 |
| Medicare PECOS PAC ID | 2668692153 |
|---|---|
| Medicare Enrollment ID | O20141006000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629485032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tamara Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952792392 PECOS PAC ID: 7214207612 Enrollment ID: I20170718001532 |
Sterling Internal Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2509 S Main St, Moultrie, GA 31768 Phone: 229-890-1442 Fax: 229-890-0782 | |
Colquitt Family Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 S Main St, Moultrie, GA 31768 Phone: 229-891-2170 | |
Moultrie Healthway, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Hospital Park, Moultrie, GA 31768 Phone: 229-890-1442 | |
Colquitt Regional Gastroenterology, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 Live Oak Ct, Moultrie, GA 31768 Phone: 229-785-2400 | |
Careconnect Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 760 26th Ave Se, Moultrie, GA 31768 Phone: 229-985-1457 Fax: 229-891-3937 | |
Colquitt Regional Infectious Disease Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Hospital Park, Moultrie, GA 31768 Phone: 229-891-9009 | |
Convenient Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 31st Ave Se, Moultrie, GA 31768 Phone: 229-890-6054 Fax: 229-891-4087 |