NPI 1861695579 MOULTRIE UROLOGICAL CLINIC, INC MOULTRIE GA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Moultrie Urological Clinic, Inc - NPI: 1861695579

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: MOULTRIE UROLOGICAL CLINIC, INC
NPI Number: 1861695579
Entity Type Code: Organizational (2)
Authorized Official Name: MAHA KASSIS BADDOUR
(PRACTICE MANAGER)
Mailing Address: 2 Hospital Park
Moultrie
State: GA US
Postal Code: 317686700
Phone Number: 2299853066
Fax Number: 2298902092
NPI Enumeration Date: 06/08/2007
NPI Last Update Date: 03/24/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 174400000X
License Number: 031557
Healthcare Provider Taxonomy:
(Secondary)
Y
State: GA
Taxonomy Type: Other Service Providers
Taxonomy Classification: Specialist
Taxonomy Specialization:
Taxonomy Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


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