STACEY W JOHNSON

THOMASVILLE, GA
NPI1376511667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: GA  041324)
Enumeration Date2006-03-10
Last Update Date2007-07-09
Business Address
-- STACEY W JOHNSON MD
509 GORDON AVE
THOMASVILLE, GA 31792
Phone number: 229-226-7544
Mailing Address
-- STACEY W JOHNSON MD
PO BOX 2258
THOMASVILLE, GA 31799
Phone number: 229-226-7544