Organization
COLQUITT REGIONAL INFECTIOUS DISEASE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS STRANGE (CFO)
(229) 890-3531
Entity
Organization
Contact information
Practice address
6 HOSPITAL PARK, MOULTRIE, GA 31768-6700
(229) 891-9009
Mailing address
PO BOX 2438, MOULTRIE, GA 31776-2438
(229) 891-9009
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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