Individual
MARVIN L. EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 HIGHWAY 28, JASPER, TN 37347-3638
(423) 837-9500
(865) 539-8008
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD12900
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3045821
BLUE CROSS
TN
01
—
3070472
BCBS OF TENNESSEE
TN
05
—
3809907
—
TN
05
—
3809908
—
TN
01
—
P00285998
RAILROAD MEDICARE
TN
Enumeration date
06/21/2006
Last updated
11/19/2007
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