# PEDS AND PARENTS FAMILY CARE, LLC

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

## Provider details

- **NPI number:** 1912115452
- **Authorized official:** MARY LEE CARTER M.D. (PRESIDENT)
- **Authorized official phone:** (912) 729-7007

## Contact information

- **Practice address:** 124 ANDREWS WAY, SUITE B, KINGSLAND, GA 31548-6860
- **Practice address phone:** (912) 729-7007
- **Practice address fax:** (912) 729-3627
- **Mailing address:** 124 ANDREWS WAY, SUITE B, KINGSLAND, GA 31548-6860
- **Mailing address phone:** (912) 729-7007
- **Mailing address fax:** (912) 729-3627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 54592 | GA | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 08/22/2020