NPI age
18 years
Enumerated 2007-06-07
● Active Type 2 · Organization
Moultrie Urology Asc
Moultrie Urology Asc is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Baddour
Office Manager
Last NPPES update
2010-01-08
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2 Hospital Park
Moultrie, GA 317686700
Mailing address
2 Hospital Park
Moultrie, GA 317686700
Authorized official
Maha Kassis Baddour, RMM
Office Manager
📞 2299853066
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00919619A |
Practice context
Single-site organization. Only one practice location on file.
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