Organization
COLQUITT REGIONAL MEDICAL CENTER
Active
Parent organization
COLQUITT REGIONAL MEDICAL CENTER
Other names
Colquitt County EMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLQUITT REGIONAL MEDICAL CENTER
Authorized official
GREG JOHNSON (COO)
(229) 985-3420
Entity
Organization
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 891-9277
(229) 502-9645
Mailing address
PO BOX 2172, MOULTRIE, GA 31776-2172
(229) 891-9277
(229) 502-9645
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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