Colquitt Regional Orthopedics, LLC

Organization Active NPI Specialist · Moultrie, GA

NPI 1649475930 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1649475930
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
Legal business name
COLQUITT REGIONAL ORTHOPEDICS, LLC
Practice address
3131 S Main St
Moultrie, GA 31768-6925
Phone
(229) 891-9131
Fax
(229) 891-9079
NPI assigned
Jun 18, 2007
Organization subpart
No

Authorized official

Name
Judy Ricks
Title
Provider Enrollment
Phone
(229) 891-9131

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X Yes

Addresses

Primary practice location

3131 S Main St
Moultrie, GA 31768-6925

Mailing address

PO Box 2169
Moultrie, GA 31776-2169
Phone (229) 891-9131

Other providers in Moultrie, GA

All providers in Moultrie, GA · Specialist in Georgia

Sources for this page

Verify at the official NPI Registry.