COLQUITT REGIONAL UROLOGY, LLC is an urology in Moultrie, GA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. COLQUITT REGIONAL UROLOGY, LLC NPI is 1215209416. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
115 31ST AVE SE
MOULTRIE, GA
ZIP 31768-771
Phone: (229) 891-9148
Fax: (229) 217-4910
The provider's authorized official is Jayshree Bhavnani .
The authorized official title is Cfo and has the following contact phone number (229) 891-9131.
The CLIA number assigned to this NPI record is 11D2041260 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 2/2/2012 and was last updated on 8/1/2023.