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Organization
COLQUITT REGIONAL MEDICAL CENTER
Active
Organization
COLQUITT REGIONAL MEDICAL CENTER
Active
Other names
Georgia South Family Medicine, GA South Family Medicine Residency Program
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L MATNEY (CEO)
(229) 985-3420
Entity
Organization
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 502-9769
(229) 985-3751
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 891-9131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
09/04/2025
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