NPI age
18 years
Enumerated 2007-06-08
● Active Type 2 · Organization
Moultrie Urological Clinic, Inc
Moultrie Urological Clinic, Inc is 1 of 1881 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Baddour
Practice Manager
Last NPPES update
2010-03-24
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
18 years
≈ at median (19 yr)
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, MBA
Practice Manager
📞 2299853066
Specialties
-
Specialist PrimaryAn 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00400518A |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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