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
—
—
Other
Enumeration date
11/29/2006
Last updated
12/07/2016
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