| Sidney P Johnson, M.d. P.c | |
|
11 Johnson St Hazlehurst GA 31539-6243 | |
| (912) 375-2521 | |
| Not Available |
| Full Name | Sidney P Johnson, M.d. P.c |
|---|---|
| Speciality | General Practice |
| Location | 11 Johnson St, Hazlehurst, Georgia |
| Authorized Official Name and Position | Phyllis Griffin (INSURANCE MANAGER) |
| Authorized Official Contact | 9123752521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sidney P Johnson, M.d. P.c Po Box 787 Hazlehurst GA 31539-0787 Ph: (912) 375-2521 | Sidney P Johnson, M.d. P.c 11 Johnson St Hazlehurst GA 31539-6243 Ph: (912) 375-2521 |
| NPI Number | 1396934659 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396934659 | NPI | - | NPPES |
| 00112912A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 10971 (Georgia) | Primary |
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Optim Primary Care-hazalhurst Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-644-5300 Fax: 912-644-5260 | |
David J. Ellis, Do, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7575 Fax: 912-375-7553 | |
Munsayac Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22 Cross St, Hazlehurst, GA 31539 Phone: 912-375-4884 Fax: 912-375-4881 |