Organization · Type 2 NPI

Colquitt Regional Surgery, LLC

Surgery Physician · Moultrie, GA

NPI number 1902213846 Active

Practice location

4 Live Oak Court
Moultrie, GA 31768-6783

Mailing address

PO Box 2876
Moultrie, GA 31776-2876

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1902213846

Colquitt Regional Surgery, LLC's National Provider Identifier is 1902213846, issued on Jul 11, 2014. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Moultrie, GA. The record was last updated on Sep 4, 2025.