John W Desimone, MD | |
611 E Washington Ave, Ashburn, GA 31714-5315 | |
(229) 567-3407 | |
Not Available |
Full Name | John W Desimone |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 611 E Washington Ave, Ashburn, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154408938 | NPI | - | NPPES |
000203365C | Medicaid | GA | |
019930 | Other | GA | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 019930 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
John W Desimone, MD 907 18th St E, Suite 150, Tifton, GA 31794-3643 Ph: (229) 353-3422 | John W Desimone, MD 611 E Washington Ave, Ashburn, GA 31714-5315 Ph: (229) 567-3407 |
Earl A Lorenzen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 354 E Washington Ave, Ashburn, GA 31714 Phone: 229-567-3361 | |
Patrina Lockette, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 354 E. Washington Ave., Ashburn, GA 31714 Phone: 229-567-3361 Fax: 229-567-4083 |