COLQUITT REGIONAL ANESTHESIA LLC NPI 1154580512

NPI Information

  • NPI: 1154580512
  • Provider Name: COLQUITT REGIONAL ANESTHESIA, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 3131 S MAIN ST
    MOULTRIE, GA
    ZIP 31768
  • Phone: (229) 985-3420

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NPI Details

COLQUITT REGIONAL ANESTHESIA, LLC is a specialist in Moultrie, GA. The provider is 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. COLQUITT REGIONAL ANESTHESIA, LLC NPI is 1154580512. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3131 S MAIN ST
MOULTRIE, GA
ZIP 31768-925
Phone: (229) 985-3420
Fax: (229) 891-9079

The provider's authorized official is Judy B Ricks .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (229) 891-9131.

The enumeration date for this NPI number is 6/2/2008 and was last updated on 6/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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