# EASTMAN MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DODGE COUNTY HOSPITAL AUTHORITY
- **Other names:** Eastman Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134908098
- **Legal business name:** DODGE COUNTY HOSPITAL AUTHORITY
- **Authorized official:** JAN HAMRICK (CFO/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (478) 448-4435

## Contact information

- **Practice address:** 821 PLAZA AVE, EASTMAN, GA 31023-6757
- **Practice address phone:** (478) 448-4435
- **Practice address fax:** (478) 374-0337
- **Mailing address:** 821 PLAZA AVE, EASTMAN, GA 31023-6757
- **Mailing address phone:** (478) 448-4435
- **Mailing address fax:** (478) 374-0337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2023
- **Last updated:** 10/19/2023