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DR. PAUL EDMUNDS EASLEY M.D.

>> Anesthesiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1306885462

Individual Registrant:
DR. PAUL EDMUNDS EASLEY M.D.
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

Contact information for business:
452 CROSS CREEK DR  TOCCOA, GA 30577-2781 US
Tel: 706-297-7749  Fax: 706-297-7749

Registration Information:
NPI: 1306885462
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207L00000XAllopathic & Osteopathic Physicians
Anesthesiology
GAO24670

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000263909CGA05
MEDICARE RAILROADP00458724GA01




HEALTH CARE JOBS GA - Page 1



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