Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

John A. Glenn Jr Center for Community Healthcare Inc

Organization Family Medicine Physician · NPI 1275736100

John A. Glenn Jr Center for Community Healthcare Inc provides Family Medicine Physician services 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 Not confirmed with CMS for 17 years — call before visiting
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 03995 (GA)

Record details

NPI number1275736100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Glenn — Owner · (478) 374-1308
NPI enumeratedJune 7, 2007
Last updated in NPPESDecember 5, 2008
Mailing address1112 Plaza Ave, Suite C, Eastman, GA 31023-9009

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