Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southern Family Healthcare of Eastman Inc

Organization Family Medicine Physician · NPI 1902009194

Southern Family Healthcare of Eastman Inc is a Family Medicine Physician in Eastman, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1112 Plaza Ave Ste C
Eastman, GA 31023-9009
Phone: (478) 374-1308
Fax: (478) 374-0302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 038495 (GA)

Record details

NPI number1902009194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Glenn — Owner · (478) 374-1308
NPI enumeratedJune 6, 2007
Last updated in NPPESJune 20, 2018
Mailing address1112 Plaza Ave Ste C, Po Box 789, Eastman, GA 31023-9012

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