Eastman Pediatric Clinic

NPI #1104034511 in Eastman, Georgia

Provider Information

NPI Number
1104034511
Entity Type
Organization
Organization Name
Eastman Pediatric Clinic
Primary Specialty
Pediatrics
Enumeration Date
May 18, 2007
Last Updated
Sep 19, 2007

Practice Location

Address
1223 PLAZA AVE
State
Georgia
ZIP Code
31023-6763
Phone
(478) 374-3814

Authorized Official

Name
JOHNNY R PEEPLES, M.D.
Title
PRESIDENT-OWNER
Phone
(478) 374-3814

Specialties & Taxonomy Codes

Specialty
Pediatrics

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