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:
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Health care specialties

SpecialtyCodeLicense #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 8th, 2007 - about 18 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.

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