Individual
ASHLEY CLACK EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5243 RIVERSIDE DR, MACON, GA 31210-8803
(229) 365-3657
Mailing address
4750 WATERS AVE STE 103, SAVANNAH, GA 31404-6267
(912) 350-5646
(912) 350-5697
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
078992
GA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
078992
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/10/2008
Last updated
01/04/2022
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