Colquitt Regional Emergency Physicians, LLC

NPI #1902211642 in Moultrie, Georgia

Provider Information

NPI Number: 1902211642
Entity Type: Organization
Organization Name: Colquitt Regional Emergency Physicians, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jun 20, 2014
Last Updated: Jun 20, 2014

Practice Location

Address: 3131 S MAIN ST
City: Moultrie
State: Georgia
ZIP Code: 31768-6925
Phone: (229) 336-4621

Authorized Official

Name: SHAMB PUROHIT
Title: CFO
Phone: (229) 502-9703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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