Individual
JOHNNY R PEEPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1223 PLAZA AVE, EASTMAN, GA 31023-6763
(478) 374-3814
(478) 374-1478
Mailing address
6570 FIR ST, EASTMAN, GA 31023-3530
(478) 374-1541
(478) 374-1478
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
033427
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000430636A
—
GA
05
—
000430636C
—
GA
Enumeration date
03/02/2006
Last updated
01/25/2012
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