Healthcare Provider Details

I. General information

NPI: 1972471548
Provider Name (Legal Business Name): MORESCHI PEDIATRICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 N WESTBERRY ST
SYLVESTER GA
31791-2125
US

IV. Provider business mailing address

302 N WESTBERRY ST
SYLVESTER GA
31791-2125
US

V. Phone/Fax

Practice location:
  • Phone: 229-776-7060
  • Fax: 229-299-4217
Mailing address:
  • Phone: 229-776-7060
  • Fax: 229-299-4217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY MORESCHI
Title or Position: PHYSICIAN
Credential: MD
Phone: 229-776-7060