| John A. Glenn Jr. Center For Community Healthcare Inc. | |
|
1112 Plaza Ave Suite C Eastman GA 31023-9009 | |
| (478) 374-1308 | |
| (478) 374-0302 |
| Full Name | John A. Glenn Jr. Center For Community Healthcare Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1112 Plaza Ave, Eastman, Georgia |
| Authorized Official Name and Position | John A Glenn (OWNER) |
| Authorized Official Contact | 4783741308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John A. Glenn Jr. Center For Community Healthcare Inc. 1112 Plaza Ave Suite C Eastman GA 31023-9009 Ph: (478) 374-1308 | John A. Glenn Jr. Center For Community Healthcare Inc. 1112 Plaza Ave Suite C Eastman GA 31023-9009 Ph: (478) 374-1308 |
| NPI Number | 1275736100 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 12/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275736100 | NPI | - | NPPES |
| 000613874A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 03995 (Georgia) | Primary |
Mid Georgia Total Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Griffin Ave, Ste 1b, Eastman, GA 31023 Phone: 478-374-8998 Fax: 478-374-8525 | |
Middle Georgia Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Plaza Ave, Eastman, GA 31023 Phone: 478-374-9309 Fax: 478-374-3310 | |
Careconnect Convenient Care And Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 817 Griffin Ave, Eastman, GA 31023 Phone: 478-374-1801 Fax: 478-448-4586 | |
Eastman Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Griffin Ave, Suites A, Eastman, GA 31023 Phone: 478-374-0020 Fax: 478-374-2937 | |
Eastman Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 821 Plaza Ave, Eastman, GA 31023 Phone: 478-448-4435 Fax: 478-374-0337 | |
Heather T Herrington Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Professional Center Dr, Eastman, GA 31023 Phone: 478-374-8737 Fax: 478-374-8823 | |
Eastman Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 840 Professional Center Dr, Eastman, GA 31023 Phone: 478-374-7801 Fax: 478-374-7878 |