Organization
CONRAD H EASLEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDETTE EASLEY (SECRETARY)
(706) 226-6318
Entity
Organization
Contact information
Practice address
1501 BROADRICK DR, SUITE # 3, DALTON, GA 30720-3014
(706) 226-6318
(706) 278-6031
Mailing address
1501 BROADRICK DR, SUITE # 3, DALTON, GA 30720-3014
(706) 226-6318
(706) 278-6031
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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