COLQUITT REGIONAL PAIN CLINIC, LLC

MOULTRIE, GA
NPI1295192391
Entity TypeOrganization
Authorized ContactWENDELL SIMS
CFO
229-985-3420
Organization Subpart ?No
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
Enumeration Date2016-01-20
Last Update Date2016-01-20
Business Address
COLQUITT REGIONAL PAIN CLINIC, LLC
3131 S MAIN ST
MOULTRIE, GA 31768-6925
Phone number: 229-985-3420
Mailing Address
COLQUITT REGIONAL PAIN CLINIC, LLC
PO BOX 8866
GREENSBORO, NC 27419-0866
Phone number: