| NPI | 1881758753 |
|---|---|
| Doing Business As | COLQUITT REGIONAL PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | C. GARY LODGE Medical Director 229-985-3320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: GA 14029) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2009-07-17 |