| NPI Details | |
|---|---|
| NPI | 1336138528 |
| Enumeration Date | 10/19/2005 |
| Last Updated | 11/03/2014 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | DEBORAH L DEBORAH |
| Position | OPERATOR |
| Phone | (478) 746-3547 |
| Fax | (478) 750-9451 |
| Practice Location | |
|---|---|
| 3020 JEFFERSONVILLE RD MACON GA, 31217-5118, US |
|
| Phone | (478) 746-3547 |
| Fax | (478) 750-9451 |
| Business Location | |
|---|---|
| 3020 JEFFERSONVILLE RD MACON GA, 31217-5118, US |
|
| Phone | (478) 746-3547 |
| Fax | (478) 750-9451 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 314000000X |
| License State | Georgia |
| License Number | 1-011-1675 |
| Remove 1336138528 NPI Number | |
According to our database, Eastview Healthcare, Llc NPI is 1336138528, taxonomy code is 314000000X and license number is 1-011-1675, license state is located at Georgia. Eastview Healthcare, Llc physically located at 3020 Jeffersonville Rd, Macon GA, 31217-5118. NPI Number 1033115704 has the healthcare provider type.
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1336138528 NPI number is provided on an as is basis without warranty of any kind. 1336138528 is maintained by the National Plan & Provider Enumeration System. The contents of Eastview Healthcare, Llc are for informational purposes only.
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