Moultrie Pediatrics, Llc in Moultrie - Pediatrics
Moultrie Pediatrics, Llc - NPI 1679766299
Moultrie Pediatrics, Llc is a Pediatrics in Moultrie, Georgia. Moultrie Pediatrics, Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Moultrie Pediatrics, Llc is 1679766299. The last update date is 2011-10-27.
Moultrie Pediatrics, Llc's current location address is Po Box 129, Moultrie, Georgia. You can contact this provider via phone number 2299851293 and fax number 2298912123. The mailing address for Moultrie Pediatrics, Llc is Po Box 129, Moultrie, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Moultrie Pediatrics, Llc |
|---|---|
| Address | Po Box 129, Moultrie, Georgia |
| Phone Number | 2299851293 |
| Fax Number | 2298912123 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wills A Marion |
| Credentials | M.D. |
| Telephone Number | 2299851293 |
NPI Number Detail
| NPI Number | 1679766299 |
|---|---|
| Provider Enumeration Date | 2007-08-27 |
| Last Updated Date | 2011-10-27 |
Provider Mailing Address Detail
| Address | Po Box 129 |
|---|---|
| City | Moultrie |
| State | Georgia (GA) |
| Post Code | 317760129 |
| Phone Number | 2299851293 |
| Fax Number | 2298912123 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
Definition: A pediatrician 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3083 | GA | PEACHSTATE | |
| 396284 | GA | WELLCARE | |
| 300035718A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Moultrie Pediatrics, Llc?
The Moultrie Pediatrics, Llc has been issued the NPI (National Provider Identifier) 1679766299 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Moultrie Pediatrics, Llc?
The Moultrie Pediatrics, Llc is situated at Po Box 129, in the city of Moultrie, state of GA, with the zip code 317760129.
What is the Moultrie Pediatrics, Llc's area of specialization and corresponding taxonomy classification?
The Moultrie Pediatrics, Llc's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
When did Moultrie Pediatrics, Llc receive its 1679766299 assignment?
The Moultrie Pediatrics, Llc was assigned its 1679766299 on 2007-08-27, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Moultrie Pediatrics, Llc last refreshed?
The information related to the Moultrie Pediatrics, Llc, including its address, specialty, and other relevant details, was last updated on 2011-10-27.
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