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Organization
SOUTHERN FAMILY HEALTHCARE OF EASTMAN INC
Active
Organization
SOUTHERN FAMILY HEALTHCARE OF EASTMAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A GLENN JR. MD (OWNER)
(478) 374-1308
Entity
Organization
Contact information
Practice address
1112 PLAZA AVE, SUITE C, EASTMAN, GA 31023-9009
(478) 374-1308
(478) 374-0302
Mailing address
1112 PLAZA AVE STE C, PO BOX 789, EASTMAN, GA 31023-9012
(478) 374-1308
(478) 374-0302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038495
GA
Other
Enumeration date
06/06/2007
Last updated
06/20/2018
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