Organization
COLQUITT REGIONAL MEDICAL CENTER
Active
Parent organization
COLQUITT REGIONAL MEDICAL CENTER
Other names
Colquitt Regional Geriatric Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLQUITT REGIONAL MEDICAL CENTER
Authorized official
JIM MATNEY (CEO)
(229) 890-3570
Entity
Organization
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-3420
Mailing address
PO BOX 40, MOULTRIE, GA 31776-0040
(229) 891-9164
(229) 891-9186
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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