Peeples, Johnny R

Peeples, Johnny R is an sole proprietor health care provider with primary practice located at 1223 Plaza Ave , Eastman GA 31023-6763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Peeples, Johnny R can be contacted via phone (478) 374-3814.

Contact Information

Primary practice address
1223 Plaza Ave Eastman GA 31023-6763
Phone: (478) 374-3814
Fax: (478) 374-1478
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 033427 Georgia

Profile Details

NPI number 1457328098
LBN Legal business name Peeples, Johnny R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2006
Last updated Jan 25th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457328098 NPPES
Georgia MEDICAID 000430636C
Georgia MEDICAID 000430636A

Popular Providers