Organization
COLQUITT COUNTY HOSPITAL AUTHORITY
Active
Organization
COLQUITT COUNTY HOSPITAL AUTHORITY
Active
Other names
Colquitt Regional Medical Center Home IV
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R LOWRY (PRESIDENT)
(229) 985-3420
Entity
Organization
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-3420
Mailing address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-3420
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
035-296
GA
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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