Moultrie Urology Asc in Moultrie - Ambulatory Surgical
Moultrie Urology Asc - NPI 1700089695
Moultrie Urology Asc is a Ambulatory Surgical in Moultrie, Georgia. Moultrie Urology Asc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Moultrie Urology Asc is 1700089695. The last update date is 2010-01-08.
Moultrie Urology Asc's current location address is 2 Hospital Park, Moultrie, Georgia. You can contact this provider via phone number 2299853066 and fax number 2298902092. The mailing address for Moultrie Urology Asc is 2 Hospital Park, Moultrie, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Moultrie Urology Asc |
|---|---|
| Address | 2 Hospital Park, Moultrie, Georgia |
| Phone Number | 2299853066 |
| Fax Number | 2298902092 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Baddour Kassis Maha |
| Credentials | RMM |
| Telephone Number | 2299853066 |
NPI Number Detail
| NPI Number | 1700089695 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2010-01-08 |
Provider Mailing Address Detail
| Address | 2 Hospital Park |
|---|---|
| City | Moultrie |
| State | Georgia (GA) |
| Post Code | 317686700 |
| Phone Number | 2299853066 |
| Fax Number | 2298902092 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 035-219 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00919619A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Moultrie Urology Asc?
The Moultrie Urology Asc has been issued the NPI (National Provider Identifier) 1700089695 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Moultrie Urology Asc is physically located?
The Moultrie Urology Asc is situated at the following address: 2 Hospital Park, Moultrie, GA 317686700.
What is Moultrie Urology Asc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Moultrie Urology Asc is Ambulatory Surgical, and the taxonomy classification code that categorizes this area of expertise is 261Qa1903X.
On what date did Moultrie Urology Asc receive its 1700089695 assignment from the Centers for Medicare & Medicaid Services?
The Moultrie Urology Asc was assigned its 1700089695 on 2007-06-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Moultrie Urology Asc most recently updated or revised?
The information pertaining to Moultrie Urology Asc, including its address, specialty, and other relevant details, was last updated or revised on 2010-01-08.
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