| Delores Lorraine Johnson, MD | |
|
2135 Valleygate Drive Suite 101, Fayetteville, NC 28304-4415 | |
| (910) 920-1858 | |
| (910) 339-9040 |
| Full Name | Delores Lorraine Johnson |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 2135 Valleygate Drive Suite 101, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043271778 | NPI | - | NPPES |
| 89136XM | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 200400525 (North Carolina) | Primary |
| Entity Name | Scotland Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477791507 PECOS PAC ID: 0648208504 Enrollment ID: O20031105000382 |
| Entity Name | Bladen Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558537282 PECOS PAC ID: 6800967969 Enrollment ID: O20080617000314 |
| Mailing Address | Practice Location Address |
|---|---|
| Delores Lorraine Johnson, MD 2135 Valleygate Drive Suite 101, Fayetteville, NC 28304 Ph: (910) 920-1858 | Delores Lorraine Johnson, MD 2135 Valleygate Drive Suite 101, Fayetteville, NC 28304-4415 Ph: (910) 920-1858 |
William Dana Haithcock, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2029 Valleygate Dr, Suite 101, Fayetteville, NC 28304 Phone: 910-323-2103 Fax: 910-323-2219 | |
Dr. Caron Dawn Gutovitz, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1341 Walter Reed Rd, Fayetteville, NC 28304 Phone: 910-615-3500 | |
Lakshmi Vadlamudi Gordon, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2053 Valleygate Dr, Ste. 201, Fayetteville, NC 28304 Phone: 910-484-9020 Fax: 910-484-9012 | |
David Alan Schutzer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2301 Robeson St, Ste 201, Fayetteville, NC 28305 Phone: 910-485-1191 Fax: 910-485-6006 | |
Ms. Lydia B Apollo, CNM Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2053 Valleygate Dr Ste 201, Fayetteville, NC 28304 Phone: 910-484-9020 Fax: 910-484-9012 | |
Dr. Patricia Ann Convery, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1341 Walter Reed Rd, Fayetteville, NC 28304 Phone: 910-615-3500 Fax: 910-615-3560 |