# CAROUSEL PEDIATRICS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649212192
- **Authorized official:** DR. CHARLES EDWARD STEVENSON JR. M.D. (PRESIDENT)
- **Authorized official phone:** (770) 834-0606

## Contact information

- **Practice address:** 804 DIXIE ST, CARROLLTON, GA 30117-4416
- **Practice address phone:** (770) 834-0606
- **Practice address fax:** (770) 834-1833
- **Mailing address:** 804 DIXIE ST, CARROLLTON, GA 30117-4416
- **Mailing address phone:** (770) 834-0606
- **Mailing address fax:** (770) 834-1833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 08/22/2020