Jose M Grave De Peralta, MD | |
509 Gordon Ave, Thomasville, GA 31792-6645 | |
(229) 226-7544 | |
(229) 226-0314 |
Full Name | Jose M Grave De Peralta |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 509 Gordon Ave, Thomasville, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033186838 | NPI | - | NPPES |
000600553D | Medicaid | GA | |
000600553C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 038238 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jose M Grave De Peralta, MD Po Box 2258, Thomasville, GA 31799-2258 Ph: (229) 226-7544 | Jose M Grave De Peralta, MD 509 Gordon Ave, Thomasville, GA 31792-6645 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 | |
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 | |
Stacey W Johnson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 509 Gordon Ave, Thomasville, GA 31792 Phone: 229-226-7544 Fax: 229-226-0314 |