| Stacey W Johnson, MD | |
|
509 Gordon Ave, Thomasville, GA 31792 | |
| (229) 226-7544 | |
| (229) 226-0314 |
| Full Name | Stacey W Johnson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 509 Gordon Ave, Thomasville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376511667 | NPI | - | NPPES |
| 000706439B | Medicaid | GA | |
| 000706439C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 041324 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey W Johnson, MD Po Box 2258, Thomasville, GA 31799 Ph: (229) 226-7544 | Stacey W Johnson, MD 509 Gordon Ave, Thomasville, GA 31792 Ph: (229) 226-7544 |
Timothy A Jones, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 509 Gordon Ave, Thomasville, GA 31792 Phone: 229-226-7544 Fax: 229-226-0314 | |
Jose M Grave De Peralta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 509 Gordon Ave, Thomasville, GA 31792 Phone: 229-226-7544 Fax: 229-226-0314 | |
Stephanie S Fennell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 509 Gordon Ave, Thomasville, GA 31792 Phone: 229-226-7544 Fax: 229-226-0314 | |
Amy A Cooper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 509 Gordon Ave, Thomasville, GA 31792 Phone: 229-226-7544 Fax: 229-226-0314 | |
Salli Chism Lehman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 509 Gordon Ave, Thomasville, GA 31792 Phone: 229-223-7544 Fax: 229-226-0314 | |
Dr. Robert Maxwell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 213 Pembroke Pl, Thomasville, GA 31792 Phone: 229-226-8374 |