Individual
JOHN W. DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 E WASHINGTON AVE, ASHBURN, GA 31714-5315
(229) 567-3407
Mailing address
907 18TH ST E, SUITE 150, TIFTON, GA 31794-3643
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
019930
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000203365C
—
GA
01
—
019930
LICENSE NUMBER
GA
Enumeration date
11/01/2006
Last updated
11/11/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us