Eastman Medical Services,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EASTMAN MEDICAL SERVICES,LLC

Practice address

1085 Plaza Ave
Eastman, GA 31023-9102

Phone

(478) 374-7762

Fax

(478) 374-1177

NPI assigned

Apr 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mike Hester

Title

Cfo (Dodge County Hospital)

Phone

(478) 448-4050

Specialties & licenses 1

Addresses

Other names 1

• Eastman Medical Services Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1386819803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239102",
            "telephone_number": "478-374-7762",
            "fax_number": "478-374-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239102",
            "telephone_number": "478-374-7762",
            "fax_number": "478-374-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTMAN MEDICAL SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO (DODGE COUNTY HOSPITAL)",
        "authorized_official_telephone_number": "478-448-4050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastman Medical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Internal Medicine Physician in Eastman, GA
• Providers in Eastman, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.