Dr Jonathan Stephen Wood, MD | |
4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047-8975 | |
(770) 923-6400 | |
(770) 676-9876 |
Full Name | Dr Jonathan Stephen Wood |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699055236 | NPI | - | NPPES |
003172167 | Medicaid | GA | |
76998 | Other | GA | GEORGIA MEDICAL LICENSE |
003172167H | Medicaid | GA | |
003172167J | Medicaid | GA | |
003172167M | Medicaid | GA | |
003172167N | Medicaid | GA | |
1707074 | Other | GA | WELLCARE |
003172167L | Medicaid | GA | |
06047829 | Other | GA | AMERIGROUP |
003172167K | Medicaid | GA | |
003172167I | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 76998 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan Stephen Wood, MD 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047-8975 Ph: (770) 923-6400 | Dr Jonathan Stephen Wood, MD 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047-8975 Ph: (770) 923-6400 |
George Z Katsitadze, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4120 Five Forks Trickum Road, Suite102, Lilburn, GA 30047 Phone: 770-923-6400 Fax: 770-564-1697 | |
Vijay L Arora, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4025 Highway 29 Nw, Suite B, Lilburn, GA 30047 Phone: 770-381-0307 Fax: 770-806-8117 | |
Tricia M Cameron, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3997 Lawrenceville Hwy Nw, Suite 230, Lilburn, GA 30047 Phone: 770-935-0500 Fax: 770-935-0880 | |
Dr. Babatunde Ibikunle Onasanya, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 605 Beaver Ruin Rd Nw, Suite B, Lilburn, GA 30047 Phone: 770-935-0500 Fax: 770-935-0880 | |
Mrs. Carol Dawn Davis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4120 Five Forks Trickum Road, Suite 102, Lilburn, GA 30047 Phone: 770-923-6400 Fax: 770-564-1697 | |
Minsheng Wang, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4705 Lawrenceville Hwy Nw Ste B, Lilburn, GA 30047 Phone: 678-691-0839 Fax: 404-481-2062 |