MEDICARE: DR. JOHN DAVID EATON MD MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083X0100X	Occupational Medicine Physician	00015392	AL
2	207Q00000X	Family Medicine Physician	00015392	AL

General Provider Information

NPI Number	:	1265583827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN DAVID EATON MD MPH

Provider Business Mailing Address
First Line	:	952 ROSE DR # A
Second Line	:
City	:	NORTHPORT
State	:	AL
Zip	:	35476-3363
Country	:	US
Telephone Number	:	205-339-8282
Fax Number	:	205-339-0936

Provider Business Practice Location Address
First Line	:	5004 HIGHWAY 69 N
Second Line	:
City	:	NORTHPORT
State	:	AL
Zip	:	35473-2039
Country	:	US
Telephone Number	:	205-339-2499
Fax Number	:	205-339-6422

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	12/17/2025

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Directions to “ DR. JOHN DAVID EATON MD MPH” Practice Location

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