Eastman Pediatric Clinic in Eastman - Pediatrics
Eastman Pediatric Clinic - NPI 1104034511
Eastman Pediatric Clinic is a Pediatrics in Eastman, Georgia. Eastman Pediatric Clinic practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Eastman Pediatric Clinic is 1104034511. The last update date is 2007-09-19.
Eastman Pediatric Clinic's current location address is 1223 Plaza Ave, Eastman, Georgia. You can contact this provider via phone number 4783743814 and fax number 4783741478. The mailing address for Eastman Pediatric Clinic is 1223 Plaza Ave, Eastman, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastman Pediatric Clinic |
|---|---|
| Address | 1223 Plaza Ave, Eastman, Georgia |
| Phone Number | 4783743814 |
| Fax Number | 4783741478 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT- |
|---|---|
| Authorized Official Name | Peeples R Johnny |
| Credentials | M.D. |
| Telephone Number | 4783743814 |
NPI Number Detail
| NPI Number | 1104034511 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-09-19 |
Provider Mailing Address Detail
| Address | 1223 Plaza Ave |
|---|---|
| City | Eastman |
| State | Georgia (GA) |
| Post Code | 310236763 |
| Phone Number | 4783743814 |
| Fax Number | 4783741478 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Post Comment/ Review Below
What is the unique identifier code issued to Eastman Pediatric Clinic by the Centers for Medicare & Medicaid Services (CMS)?
The Eastman Pediatric Clinic has been assigned the NPI (National Provider Identifier) 1104034511. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Eastman Pediatric Clinic is geographically located?
The Eastman Pediatric Clinic is physically situated at the following location: 1223 Plaza Ave, Eastman, GA, 310236763.
What is Eastman Pediatric Clinic's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Eastman Pediatric Clinic is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
When did Eastman Pediatric Clinic receive its 1104034511 assignment?
The Eastman Pediatric Clinic was assigned its 1104034511 on 2007-05-18, which is the date when this unique identifier was issued to the organization.
As of what date were the Eastman Pediatric Clinic's details last updated?
The information pertaining to the Eastman Pediatric Clinic, including its address, specialty, and other details, was most recently updated on 2007-09-19.
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