Moultrie Pediatrics, Llc
Pediatrics
Moultrie Pediatrics, Llc is a Moultrie, Georgia based Pediatric center with medical specialization in
General Pediatrics. Moultrie Pediatrics, Llc is doing business as
Children's Medical Group Of Sw Ga.
It is located at
1 Sweet Bay Ct, Suite A, Moultrie, Georgia - 31768-6756. They can be contacted on phone at
229-985-1293 and fax number 229-891-2123.
NPI number (Unique professional ID) for Moultrie Pediatrics, Llc is
1679766299 which was assigned by NPPES on 27 Aug, 2007 and it was last updated on 27 Oct, 2011.
Moultrie Pediatrics, Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Moultrie Pediatrics, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Moultrie Pediatrics, Llc |
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| Other Name : | Children's Medical Group Of Sw Ga |
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Business Address:
Moultrie Pediatrics, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Sweet Bay Ct, Suite A
Moultrie, GA, 31768-6756
United States |
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| Phone Number : | 229-985-1293 |
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| Fax Number : | 229-891-2123 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1679766299 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 27 Aug, 2007 |
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| Last Updated On : | 27 Oct, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Mariona Wills |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER |
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| Phone Number : | 229-985-1293 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Moultrie Pediatrics, Llc are as mentioned. Primary taxonomy code for Moultrie Pediatrics, Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Moultrie Pediatrics, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3083 | Other | GA | PEACHSTATE |
| 396284 | Other | GA | WELLCARE |
| 300035718A | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 129
Moultrie, GA, 31776-0129
United States |
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| Phone Number : | 229-985-1293 |
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| Fax Number : | 229-891-2123 |
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Business Location:
Patients can refer following map for directions to
Moultrie Pediatrics, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.