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Individual
DR. SUSAN KAY EASLEY
Active
Individual
DR. SUSAN KAY EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N6273
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042889
JHHC PROVIDER NUMBER
MD
01
—
0621984
CIGNA PIN
MD
01
—
080186598
RR MEDICARE
MD
01
—
2107595
MAMSI SPECIALIST
MD
01
—
2618832
AETNA CAPITATED
MD
05
—
451350900
—
MD
01
—
611088-01
CAREFIRST MD RENDERING
MD
01
—
7135255
AETNA FEE FOR SERVICE
MD
01
—
7605-0049
CAREFIRST BLUECHOICE
MD
01
—
8107595
MAMSI PRIMARY CARE
MD
01
—
P15034
CAREFIRST MPOS
MD
Enumeration date
08/04/2005
Last updated
08/27/2010
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