Organization
EASTMAN PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY R PEEPLES M.D. (PRESIDENT-OWNER)
(478) 374-3814
Entity
Organization
Contact information
Practice address
1223 PLAZA AVE, EASTMAN, GA 31023-6763
(478) 374-3814
(478) 374-1478
Mailing address
1223 PLAZA AVE, EASTMAN, GA 31023-6763
(478) 374-3814
(478) 374-1478
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
09/19/2007
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