| Winston William Leland Bogan, | |
|
423 Covington Ave, Thomasville, GA 31792-5264 | |
| (229) 226-6074 | |
| Not Available |
| Full Name | Winston William Leland Bogan |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 423 Covington 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 |
|---|---|---|---|
| 1942096433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT009489 (Georgia) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
| Mailing Address | Practice Location Address |
|---|---|
| Winston William Leland Bogan, 1807 Vineland Ln, Tallahassee, FL 32317-7925 Ph: (850) 766-3189 | Winston William Leland Bogan, 423 Covington Ave, Thomasville, GA 31792-5264 Ph: (229) 226-6074 |
Melinda Greene, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-2823 Fax: 229-551-8722 | |
Lindsey Gibson Cone, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 E Jackson St, Thomasville, GA 31792 Phone: 478-318-4579 | |
Mrs. Jennifer Michelle Stephenson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 233 Us Highway 84 Byp W, Thomasville, GA 31792 Phone: 229-403-9924 | |
Michelle Manning Popiel, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 E. Jefferson Street, Thomasville, GA 31792 Phone: 229-225-1683 | |
Catherine Lehman, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 E Pinetree Blvd, Thomasville, GA 31792 Phone: 229-228-8050 Fax: 229-584-5979 | |
Melanie Stodard Green, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1727 Gatlin Creek Rd, Thomasville, GA 31757 Phone: 229-224-4203 | |
Deborah V Smith, OCCUPAT THERAPIST Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 N Dawson St, Thomasville, GA 31792 Phone: 229-226-4114 Fax: 229-226-6480 |