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Individual

DR. MARIE OWSLEY EASTERLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
418 EH CT, UNIT 4B, BRUNSWICK, GA 31520-2199
(912) 267-0884
(913) 267-9396
Mailing address
418 EH CT, UNIT 4B, BRUNSWICK, GA 31520-2199
(912) 267-0884
(913) 267-9396

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1536
GA
207V00000X
Obstetrics & Gynecology Physician
253182
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003113870A
GA
Enumeration date
08/13/2007
Last updated
10/02/2015
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