Colquitt Regional Pain Clinic, LLC

NPI #1295192391 in Moultrie, Georgia

Provider Information

NPI Number
1295192391
Entity Type
Organization
Organization Name
Colquitt Regional Pain Clinic, LLC
Primary Specialty
Anesthesiology - Pain Medicine
Enumeration Date
Jan 20, 2016
Last Updated
Jan 20, 2016

Practice Location

Address
3131 S MAIN ST
State
Georgia
ZIP Code
31768-6925
Phone
(229) 985-3420

Authorized Official

Name
WENDELL SIMS
Title
CFO
Phone
(229) 985-3420

Specialties & Taxonomy Codes

Specialty
Anesthesiology - Pain MedicinePain Medicine

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