Moultrie Orthopedic Clinic, P.c.

NPI #1730495128 in Moultrie, Georgia

Provider Information

NPI Number: 1730495128
Entity Type: Organization
Organization Name: Moultrie Orthopedic Clinic, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: MOULTRIE ORTHOPEDICI CLINIC, P.C.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Aug 24, 2010
Last Updated: Aug 24, 2010

Practice Location

Address: 316 SUNSET CIR
City: Moultrie
State: Georgia
ZIP Code: 31768-6924
Phone: (229) 985-6377

Authorized Official

Name: DR. D. QUILLIAN HARRIS III, MD
Title: OWNER
Phone: (229) 985-6377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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