Southeastern Urogynecology & Pelvic Surgery LLC

NPI #1174154421 in Moultrie, Georgia

Provider Information

NPI Number: 1174154421
Entity Type: Organization
Organization Name: Southeastern Urogynecology & Pelvic Surgery LLC
Primary Specialty: Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery
Enumeration Date: Jan 27, 2020
Last Updated: Sep 4, 2025

Practice Location

Address: 115 31ST AVE SE
City: Moultrie
State: Georgia
ZIP Code: 31768-6771
Phone: (229) 502-9788

Authorized Official

Name: JAMES L MATNEY
Title: CEO
Phone: (229) 985-3420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery — Urogynecology and Reconstructive Pelvic Surgery	207VF0040X	Primary

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