Stacey W Johnson in Thomasville - Pediatrics

Stacey W Johnson - NPI 1376511667

Stacey W Johnson is a Pediatrics in Thomasville, Georgia. Stacey W Johnson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stacey W Johnson is 1376511667. The last update date is 2007-07-09.

Stacey W Johnson's current location address is Po Box 2258, Thomasville, Georgia. You can contact this provider via phone number 2292267544 and fax number 2292260314. The mailing address for Stacey W Johnson is Po Box 2258, Thomasville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacey W Johnson
Address Po Box 2258, Thomasville, Georgia
Phone Number 2292267544
Fax Number 2292260314
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1376511667
Provider Enumeration Date 2006-03-10
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address Po Box 2258
City Thomasville
State Georgia (GA)
Post Code 31799
Phone Number 2292267544
Fax Number 2292260314

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 41324
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000706439B GA --
000706439C GA --

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FAQs about Stacey W Johnson

What is the Stacey W Johnson's unique identification number?

The Stacey W Johnson has been assigned the NPI (National Provider Identifier) Number 1376511667 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Stacey W Johnson is physically located?

The Stacey W Johnson is physically situated at the following address: Po Box 2258, Thomasville, GA, 31799.

What is Stacey W Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Stacey W Johnson is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.

On what date did the Stacey W Johnson receive the assignment of its 1376511667 from the Centers for Medicare & Medicaid Services?

The Stacey W Johnson was issued its 1376511667 by the Centers for Medicare & Medicaid Services on 2006-03-10.

As of what date was the information pertaining to Stacey W Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stacey W Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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