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MOULTRIE UROLOGICAL CLINIC, INC
NPI 1861695579
Specialist in Moultrie, GA

Active since June 08, 2007
2 HOSPITAL PARK, MOULTRIE, GA 31768(229) 985-3066(229) 890-2092 Get Directions Write a Review

NPPES record last updated: March 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moultrie Urological Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOULTRIE UROLOGICAL CLINIC, INC (NPI 1861695579) is a healthcare organization registered as a specialist in Moultrie, Georgia and active in the NPI registry since June 2007. The organization lists Maha Kassis Baddour, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1861695579
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMOULTRIE UROLOGICAL CLINIC, INC
Location Address2 HOSPITAL PARKMoultrie, GA 31768-6700
Mailing Address2 Hospital ParkMoultrie, GA 31768-6700 · (229) 985-3066 · Fax (229) 890-2092
Phone(229) 985-3066
Fax(229) 890-2092
Organization SubpartNo
Authorized OfficialMaha Kassis BaddourPractice Manager · (229) 985-3066
Enumeration DateJune 8, 2007
Last NPPES UpdateMarch 24, 2010
✔ NPI 1861695579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 031557
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 HOSPITAL PARK, Moultrie, GA 31768
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Other Identifiers 2

Medicaid00400518AGA
Medicare PINGRP4674GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STERLING PODIATRY LLC
Podiatrist
2 HOSPITAL PARK
MOULTRIE, GA 31768
Colquitt County (229) 891-9131
MOULTRIE UROLOGY ASC
Clinic/Center (Ambulatory Surgical)
2 HOSPITAL PARK
MOULTRIE, GA 31768
Colquitt County (229) 985-3066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moultrie Urological Clinic, Inc's NPI number?

The NPI number for Moultrie Urological Clinic, Inc is 1861695579. It was assigned to this organization in the NPPES registry on June 8, 2007.

Where is Moultrie Urological Clinic, Inc located?

Moultrie Urological Clinic, Inc is located at 2 Hospital Park, Moultrie, GA 31768. The listed phone number is (229) 985-3066.

What is Moultrie Urological Clinic, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Moultrie Urological Clinic, Inc was last updated on March 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.