Organization
MOULTRIE HEALTHWAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEONG SOK SEO MD (PHYSICIAN)
(229) 890-1442
Entity
Organization
Contact information
Practice address
9 HOSPITAL PARK, MOULTRIE, GA 31768-6772
(229) 890-1442
Mailing address
9 HOSPITAL PARK, MOULTRIE, GA 31768-6772
(229) 890-1442
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65307
GA
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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