Individual
JOHNNY M BELENCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2705 E PINETREE BLVD STE C, THOMASVILLE, GA 31792-4875
(229) 584-5731
(229) 228-2492
Mailing address
900 CAIRO RD, THOMASVILLE, GA 31792-4255
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
071207
GA
207RP1001X
Pulmonary Disease Physician
11332
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124286
—
MS
05
—
003142520A
—
GA
05
—
003142520B
—
GA
05
—
1419672
—
LA
01
—
1559353
AMERICAN ADMIN GROUP
MS
01
—
290013888
RAILROAD MEDICARE
—
Enumeration date
07/27/2006
Last updated
09/18/2020
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