Organization
CAROUSEL PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES EDWARD STEVENSON JR. M.D. (PRESIDENT)
(770) 834-0606
Entity
Organization
Contact information
Practice address
804 DIXIE ST, CARROLLTON, GA 30117-4416
(770) 834-0606
(770) 834-1833
Mailing address
804 DIXIE ST, CARROLLTON, GA 30117-4416
(770) 834-0606
(770) 834-1833
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
08/22/2020
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