Organization
OCMULGEE MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PEACOCK (BUSINESS MANAGER)
(478) 374-4410
Entity
Organization
Contact information
Practice address
911 PLAZA AVE, EASTMAN, GA 31023-6785
(478) 374-4410
(478) 374-1712
Mailing address
911 PLAZA AVE, EASTMAN, GA 31023-6785
(478) 374-4410
(478) 374-1712
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/24/2008
Last updated
11/09/2011
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