Stephanie H Kong, MD | |
210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | |
(706) 938-0990 | |
Not Available |
Full Name | Stephanie H Kong |
---|---|
Gender | Female |
Speciality | Pediatric Medicine |
Experience | 46 Years |
Location | 210 Hannahs Mill Rd, Thomaston, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508851908 | NPI | - | NPPES |
956718471F | Medicaid | GA | |
956718471B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 039388 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Zoe Center For Pediatric And Adolescent Health, Llc | 3678903820 | 2 |
Entity Name | Zoe Center For Pediatric & Adolescent Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053684936 PECOS PAC ID: 3678903820 Enrollment ID: O20200430002123 |
Mailing Address | Practice Location Address |
---|---|
Stephanie H Kong, MD 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 Ph: (706) 938-0990 | Stephanie H Kong, MD 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 Ph: (706) 938-0990 |
Kevin Lee Delli-gatti, MD FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 403 W Gordon St, Thomaston, GA 30286 Phone: 706-647-1680 Fax: 706-646-3125 | |
Jeremiah A D'annunzio, PNP Pediatrics Medicare: Medicare Enrolled Practice Location: 210 Hannahs Mill Rd, Thomaston, GA 30286 Phone: 706-938-0990 Fax: 706-647-3861 | |
Kathy E Mansfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 331 W Main St, Thomaston, GA 30286 Phone: 706-646-4543 Fax: 706-938-0401 | |
Miss Jody Lynn Dolan, APRN, PNP-PC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 210 Hannahs Mill Rd, Thomaston, GA 30286 Phone: 706-938-0990 Fax: 706-647-3861 |