Maryann Johnston Fedack
M.D. | Pediatrics | Female
Maryann Johnston Fedack, M.D. is a Alpharetta, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Maryann Johnston Fedack is
1111 Alderman Drive, Ste. 250, Alpharetta, Georgia - 30005. She can be contacted on phone at
678-527-1555 and fax number 678-527-1559.
Maryann Johnston Fedack is a sole proprietor of her business.
NPI number (Unique professional ID) for Maryann Johnston Fedack is
1194780064 which was assigned by NPPES on 20 Apr, 2006 and it was last updated on 05 Jun, 2018.
Maryann Johnston Fedack license number is
54370 for Pediatrics (208000000X) in Georgia.
Maryann Johnston Fedack is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Maryann Johnston Fedack basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Maryann Johnston Fedack |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Maryann Johnston Fedack address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1111 Alderman Drive, Ste. 250
Alpharetta, GA, 30005
United States |
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| Phone Number : | 678-527-1555 |
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| Fax Number : | 678-527-1559 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1194780064 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Apr, 2006 |
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| Last Updated On : | 05 Jun, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maryann Johnston Fedack are as mentioned. Primary taxonomy code for Maryann Johnston Fedack, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 54370 | GA |
| 208000000X | Pediatrics | No | 057370 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Maryann Johnston Fedack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 003122405B | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1111 Alderman Drive, Ste. 250
Alpharetta, GA, 30005
United States |
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| Phone Number : | 678-527-1555 |
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| Fax Number : | 678-527-1559 |
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Business Location:
Patients can refer following map for directions to
Maryann Johnston Fedack practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.