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Organization
MOULTRIE CENTER FOR ADULT AND PEDIATRIC HEALTHCARE, PC
Active
Organization
MOULTRIE CENTER FOR ADULT AND PEDIATRIC HEALTHCARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA R. SMITH (PRACTICE MANAGER)
(229) 985-6700
Entity
Organization
Contact information
Practice address
760 26TH AVE SE, MOULTRIE, GA 31768-6799
(229) 985-6700
(229) 891-2382
Mailing address
760 26TH AVE., SE, MOULTRIE, GA 31768-6799
(229) 985-6700
(229) 891-2382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
12/07/2016
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