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JOHNNY M BELENCHIA MD
Pulmonary Disease >> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1205850435
Individual Registrant: JOHNNY M BELENCHIA MD
Gender: M
Not Sole Proprietor
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
Tel: 229-584-5731 Fax: 229-228-2492
Contact information for business:
900 CAIRO RD THOMASVILLE, GA 31792-4255 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1205850435
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207RP1001X | Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease | MS | 11332 |
| Y | 207RP1001X | Allopathic & Osteopathic Physicians Internal Medicine | GA | 071207 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1419672 | LA | 05 | |
| AMERICAN ADMIN GROUP | 1559353 | MS | 01 |
| 003142520B | GA | 05 | |
| 003142520A | GA | 05 | |
| 00124286 | MS | 05 | |
| RAILROAD MEDICARE | 290013888 | 01 |
