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1902211642
COLQUITT REGIONAL EMERGENCY PHYSICIANS, LLC
MOULTRIE, GA
NPI
1902211642
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Entity Type
Organization
Authorized Contact
SHAMB PUROHIT
CFO
229-502-9703
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2014-06-20
Last Update Date
2014-06-20
Business Address
COLQUITT REGIONAL EMERGENCY PHYSICIANS, LLC
3131 S MAIN ST
MOULTRIE, GA 31768-6925
Phone number: 229-336-4621
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Mailing Address
COLQUITT REGIONAL EMERGENCY PHYSICIANS, LLC
PO BOX 3697 3131 S. MAIN ST
MOULTRIE, GA 31776-3697
Phone number: 800-579-7777
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