Individual
DR. PAUL EDMUNDS EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
163 HOSPITAL DR, TOCCOA, GA 30577-6820
(706) 282-4200
(706) 886-8045
Mailing address
452 CROSS CREEK DR, TOCCOA, GA 30577-2781
(706) 297-7749
(706) 297-7749
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
O24670
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000263909C
—
GA
01
—
P00458724
MEDICARE RAILROAD
GA
Enumeration date
06/05/2006
Last updated
09/25/2008
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