Colquitt Regional Primary Care Clinic | |
1 Magnolia Ct Moultrie GA 31768-6764 | |
(229) 985-3320 | |
(229) 890-1282 |
Full Name | Colquitt Regional Primary Care Clinic |
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Speciality | Clinic/Center |
Location | 1 Magnolia Ct, Moultrie, Georgia |
Authorized Official Name and Position | C. Gary Lodge (MEDICAL DIRECTOR) |
Authorized Official Contact | 2299853320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Colquitt Regional Primary Care Clinic Po Box 3037 Moultrie GA 31776-3037 Ph: (229) 985-3320 | Colquitt Regional Primary Care Clinic 1 Magnolia Ct Moultrie GA 31768-6764 Ph: (229) 985-3320 |
NPI Number | 1881758753 |
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Provider Enumeration Date | 12/21/2006 |
Last Update Date | 10/14/2024 |
Medicare PECOS PAC ID | 6204821796 |
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Medicare Enrollment ID | O20090828000451 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881758753 | NPI | - | NPPES |
00002021E | Medicaid | GA | |
00002021D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 14029 (Georgia) | Primary |
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 |