NPI 1275736100

John A. Glenn Jr. Center for Community Healthcare INC.

Organisation Family Medicine Physician Eastman, GA

Practice location

Address: 1112 Plaza Ave Suite C, Eastman, GA 31023-9009
Phone: (478) 374-1308
Fax: (478) 374-0302

Authorised official

Name: John a Glenn
Title: Owner
Phone: (478) 374-1308

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 03995 (GA)

Other Family Medicine providers in Georgia →

Registry record

NPI: 1275736100
Entity type: Organization
NPI issued: 7 Jun 2007
Record last updated: 5 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.