Individual
JOHN C EARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 CROFT ST, CARROLLTON, GA 30117-3863
(770) 834-7117
Mailing address
251 CROFT ST, CARROLLTON, GA 30117-3863
(770) 834-7117
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
032723
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00436488A
—
GA
Enumeration date
10/20/2006
Last updated
06/27/2015
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