| Joshua Aike Dejong, MD | |
|
1061 Harmon Ave, Fort Stewart, GA 31314-5641 | |
| (571) 801-6508 | |
| (571) 802-0544 |
| Full Name | Joshua Aike Dejong |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1061 Harmon Ave, Fort Stewart, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922630904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 33832 (Nebraska) | Secondary |
| 208000000X | Pediatrics | 101014 (Georgia) | Primary |
| Entity Name | Health Services Of Central Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184679482 PECOS PAC ID: 9638076730 Enrollment ID: O20031217000270 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Aike Dejong, MD 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (571) 801-6508 | Joshua Aike Dejong, MD 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (571) 801-6508 |
Dr. Richard Eden Kauff, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314 Phone: 912-435-5555 | |
Dr. Matthew James Fults, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-5687 | |
Jose A Hernandez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314 Phone: 912-435-6819 | |
Dr. Tometricia Brown, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Dr. Kevin Jackson Westbrook, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Dr. Charity Omejiyovbi Akpolo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-5555 Fax: 912-435-5954 | |
German Rene Gonzalez Ramos, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Avenue, Fort Stewart, GA 31314 Phone: 912-435-5555 |