Moultrie Urology Asc

NPI #1700089695 in Moultrie, Georgia

Provider Information

NPI Number
1700089695
Entity Type
Organization
Organization Name
Moultrie Urology Asc
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jun 7, 2007
Last Updated
Jan 8, 2010

Practice Location

Address
2 HOSPITAL PARK
State
Georgia
ZIP Code
31768-6700
Phone
(229) 985-3066

Authorized Official

Name
MRS. MAHA KASSIS BADDOUR, RMM
Title
OFFICE MANAGER
Phone
(229) 985-3066

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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