Roddenberry, John Eric
Roddenberry, John Eric is an individual health care provider with primary practice located at 380 Hospital Dr Suite 100, Macon GA 31217-8001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Roddenberry, John Eric can be contacted via phone (478) 743-4646.Contact Information
Primary practice address
380 Hospital Dr Suite 100
Macon GA 31217-8001
Phone: (478) 743-4646
Fax: (478) 742-5549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 043755 | Georgia |
Profile Details
| NPI number | 1992791628 |
|---|---|
| LBN Legal business name | Roddenberry, John Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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.
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