Colquitt Regional Urology, Llc

LBN: Colquitt Regional Urology, Llc
Colquitt Regional Urology, Llc is an health care organization with primary practice located at 115 31St Ave Se , Moultrie GA 31768-6771. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Colquitt Regional Urology, Llc can be contacted via phone (229) 891-9148, or through Bhavnani, Jayshree via phone (229) 891-9131.

Contact Information

Primary practice address
115 31St Ave Se Moultrie GA 31768-6771
Phone: (229) 891-9148
Fax: (229) 217-4910
Website:
Map and Directions
Authorized official contact:
Name: Bhavnani, Jayshree
Phone: (229) 891-9131

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 67024 Georgia

Profile Details

NPI number 1215209416
LBN Legal business name Colquitt Regional Urology, Llc
DBA Doing business as
Authorized official Bhavnani, Jayshree
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2012
Last updated Aug 1st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215209416 NPPES
Georgia Other 202G701316 MEDICARE

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