Moultrie Urological Clinic, INC

NPI #1861695579 in Moultrie, Georgia

Provider Information

NPI Number: 1861695579
Entity Type: Organization
Organization Name: Moultrie Urological Clinic, INC
Primary Specialty: Specialist
Enumeration Date: Jun 8, 2007
Last Updated: Mar 24, 2010

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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