Colquitt Regional Urology, LLC

NPI #1215209416 in Moultrie, Georgia

Provider Information

NPI Number: 1215209416
Entity Type: Organization
Organization Name: Colquitt Regional Urology, LLC
Primary Specialty: Urology
Enumeration Date: Feb 2, 2012
Last Updated: Sep 4, 2025

Practice Location

Address: 16 LIVE OAK CT
City: Moultrie
State: Georgia
ZIP Code: 31768
Phone: (229) 891-9148

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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