Organization · Type 2 NPI
Moultrie Urology Asc
Ambulatory Surgical Clinic/Center · Moultrie, GA
NPI number
1700089695
Active
Practice location
2 Hospital Park
Moultrie, GA 31768-6700
Fax (229) 890-2092
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 035-219 (GA) |
Ambulatory Surgical Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1700089695
Moultrie Urology Asc's National Provider Identifier is 1700089695, issued on Jun 7, 2007. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Moultrie, GA. The record was last updated on Jan 8, 2010.