Organization
MOULTRIE ORTHOPEDIC CLINIC, P.C.
Active
Parent organization
MOULTRIE ORTHOPEDICI CLINIC, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOULTRIE ORTHOPEDICI CLINIC, P.C.
Authorized official
DR. D. QUILLIAN HARRIS III MD (OWNER)
(229) 985-6377
Entity
Organization
Contact information
Practice address
316 SUNSET CIR, MOULTRIE, GA 31768-6924
(229) 985-6377
(229) 890-9459
Mailing address
316 SUNSET CIR, MOULTRIE, GA 31768-6924
(229) 985-6377
(229) 890-9459
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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