Organization
COLQUITT REGIONAL MEDICAL CENTER
Active
Parent organization
COLQUITT REGIONAL MEDICAL CENTER
Other names
Colquitt Regional Home Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLQUITT REGIONAL MEDICAL CENTER
Authorized official
JIM MATNEY (PRESIDENT/CEO)
(229) 890-3532
Entity
Organization
Contact information
Practice address
15 HOSPITAL PARK, MOULTRIE, GA 31768-6772
(229) 891-9333
Mailing address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 891-9333
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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