Organization · Type 2 NPI

Colquitt Regional Anesthesia, LLC

Specialist · Moultrie, GA

NPI number 1154580512 Active

Practice location

3131 S Main St
Moultrie, GA 31768-6925

Call (229) 985-3420 Map

Fax (229) 891-9079

Mailing address

PO Box 3305
Moultrie, GA 31776-3305

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1154580512

Colquitt Regional Anesthesia, LLC's National Provider Identifier is 1154580512, issued on Jun 2, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Moultrie, GA. The record was last updated on Jun 2, 2008.