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JOHNNY M BELENCHIA MD

Pulmonary Disease >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1205850435

Individual Registrant:
 JOHNNY M BELENCHIA MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2705 E PINETREE BLVD STE C  THOMASVILLE, GA 31792-4875 US
Tel: 229-584-5731  Fax: 229-228-2492

Contact information for business:
900 CAIRO RD  THOMASVILLE, GA 31792-4255 US
Tel: --  Fax: --

Registration Information:
NPI: 1205850435
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RP1001XAllopathic & Osteopathic Physicians
Internal Medicine
Pulmonary Disease
MS11332
Y207RP1001XAllopathic & Osteopathic Physicians
Internal Medicine
GA071207

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1419672LA05
AMERICAN ADMIN GROUP1559353MS01
003142520BGA05
003142520AGA05
00124286MS05
RAILROAD MEDICARE29001388801




HEALTH CARE JOBS GA - Page 1



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