Moultrie Pediatrics, LLC

NPI #1679766299 in Moultrie, Georgia

Provider Information

NPI Number
1679766299
Entity Type
Organization
Organization Name
Moultrie Pediatrics, LLC
Primary Specialty
Pediatrics
Enumeration Date
Aug 27, 2007
Last Updated
Oct 27, 2011

Practice Location

Address
1 SWEET BAY CT
Address 2
SUITE A
State
Georgia
ZIP Code
31768-6756
Phone
(229) 985-1293

Authorized Official

Name
MARION A WILLS, M.D.
Title
OWNER
Phone
(229) 985-1293

Specialties & Taxonomy Codes

Specialty
Pediatrics

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