Individual
RAYMOND E. EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
260 ELM ST, CUMMING, GA 30040-2467
(770) 887-1668
(770) 781-9937
Mailing address
PO BOX 307, CUMMING, GA 30028-0307
(770) 887-1668
(770) 781-9937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
020987
GA
Other
Enumeration date
08/22/2005
Last updated
02/08/2016
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