Organization
RADIOLOGY ASSOCIATES OF MOULTRIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KEITH (MD)
(800) 841-4236
Entity
Organization
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 891-2016
Mailing address
PO BOX 4157, COLUMBUS, GA 31914-0157
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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