Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moultrie Pediatrics, LLC

Organization Pediatrics Physician · NPI 1679766299

Moultrie Pediatrics, LLC is a Pediatrics Physician in Moultrie, Georgia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Sweet Bay Ct Ste A
Moultrie, GA 31768-6756
Phone: (229) 985-1293
Fax: (229) 891-2123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1679766299
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marion Wills — Owner · (229) 985-1293
Other names Children'S Medical Group Of Sw Ga
NPI enumeratedAugust 27, 2007
Last updated in NPPESOctober 27, 2011
Mailing addressPo Box 129, Moultrie, GA 31776-0129

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