Colquitt Regional Orthopedics, LLC

NPI #1649475930 in Moultrie, Georgia

Provider Information

NPI Number
1649475930
Entity Type
Organization
Organization Name
Colquitt Regional Orthopedics, LLC
Primary Specialty
Specialist
Enumeration Date
Jun 18, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
3131 S MAIN ST
State
Georgia
ZIP Code
31768-6925
Phone
(229) 891-9131

Authorized Official

Name
JUDY RICKS
Title
PROVIDER ENROLLMENT
Phone
(229) 891-9131

Specialties & Taxonomy Codes

Specialty
Specialist

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