JOHN C EARLE, MD, Adult Medicine CARROLLTON, GA

Contact Information

JOHN C EARLE, MD

251 CROFT ST
CARROLLTON, GA 30117-3863

Phone: 770-834-7117
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Medicine	207QA0505X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for JOHN C EARLE · (Male)

NPI #	`1376625087`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	10/20/2006
Last updated	06/27/2015 - About 11 years ago
Sole proprietor ¹	Yes
Identifiers	GA License # 032723 GA Medicaid 00436488A
Hospital affiliation(s)	TANNER MEDICAL CENTER - CARROLLTON - (Acute Care) 705 DIXIE STREET CARROLLTON, GA 30117

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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