Benjamin Clark Stovall, PT | |
2003 Alice St Ste A, Waycross, GA 31501-6209 | |
(912) 285-0053 | |
Not Available |
Full Name | Benjamin Clark Stovall |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 30 Years |
Location | 2003 Alice St Ste A, Waycross, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730721655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4467 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sports Medicine And Rehab Therapy, Llc | 1658415054 | 6 |
Provider Name | Sports Medicine And Rehab Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396079224 PECOS PAC ID: 1658415054 Enrollment ID: O20100224000010 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Clark Stovall, PT 5210 Meadow Wood Rd, Blackshear, GA 31516-4473 Ph: (912) 281-2619 | Benjamin Clark Stovall, PT 2003 Alice St Ste A, Waycross, GA 31501-6209 Ph: (912) 285-0053 |
Benchmark Pt - Waycross Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2478 Memorial Dr, Waycross, GA 31503 Phone: 912-285-1927 Fax: 912-285-1929 | |
Dr. Mary Catherine Wysong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Preston St, Waycross, GA 31501 Phone: 912-283-7342 Fax: 912-283-7402 | |
Hazel Blaylock-lawson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 W Oneida St, Waycross, GA 31501 Phone: 912-283-3046 Fax: 912-283-9289 | |
Taylor Lane, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2267 Memorial Dr Ste 300, Waycross, GA 31501 Phone: 912-285-1927 | |
Ware County Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 401 Preston St, Waycross, GA 31501 Phone: 912-283-7342 Fax: 912-283-7402 | |
Mrs. Audrey D. Jernigan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 301 Pineview Dr., Waycross, GA 31501 Phone: 912-285-2361 Fax: 912-285-0571 | |
Wade Benjmain Norris Iii, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2267 Memorial Dr Ste 300, Waycross, GA 31501 Phone: 912-285-1927 |