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DR. PAUL EDMUNDS EASLEY M.D.
>> Anesthesiology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1306885462
Individual Registrant:DR. PAUL EDMUNDS EASLEY M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
163 HOSPITAL DR TOCCOA, GA 30577-6820 US
Tel: 706-282-4200 Fax: 706-886-8045
Tel: 706-282-4200 Fax: 706-886-8045
Contact information for business:
452 CROSS CREEK DR TOCCOA, GA 30577-2781 US
Tel: 706-297-7749 Fax: 706-297-7749
Tel: 706-297-7749 Fax: 706-297-7749
Registration Information:
NPI: 1306885462
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207L00000X | Allopathic & Osteopathic Physicians Anesthesiology | GA | O24670 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 000263909C | GA | 05 | |
| MEDICARE RAILROAD | P00458724 | GA | 01 |
