Individual
MR. JEREMY CLARKE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MS, BS
Contact information
Practice address
301 MARGIE DR, WARNER ROBINS, GA 31088-7818
(478) 971-1153
(478) 971-1171
Mailing address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
(478) 254-5463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT007666
GA
2251X0800X
Orthopedic Physical Therapist
Primary
PT007666
GA
2251X0800X
Orthopedic Physical Therapist
Primary
PT06777
GA
Other
Enumeration date
01/10/2007
Last updated
02/27/2026
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