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Individual

DR. GARY LEE EASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
207 BERKLEY DR, VILLA RICA, GA 30180-2411
(770) 456-0160
(770) 456-0823
Mailing address
125 COMMONS WAY STE 107, VILLA RICA, GA 30180-7041
(770) 456-0160
(770) 456-0823

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007036
GA

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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