COLQUITT REGIONAL UROLOGY, LLC

MOULTRIE, GA
NPI1215209416
Entity TypeOrganization
Authorized ContactJAYSHREE BHAVNANI
CFO
229-891-9131
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: GA  67024)
Enumeration Date2012-02-02
Last Update Date2023-08-01
Business Address
COLQUITT REGIONAL UROLOGY, LLC
115 31ST AVE SE
MOULTRIE, GA 31768-6771
Phone number: 229-891-9148
Mailing Address
COLQUITT REGIONAL UROLOGY, LLC
PO BOX 2876
MOULTRIE, GA 31776-2876
Phone number: 229-891-9148
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