Individual
GUY T EASTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
202 PERRY HWY, HAWKINSVILLE, GA 31036-6748
(478) 892-9670
(478) 892-9678
Mailing address
PO BOX 1297, HAWKINSVILLE, GA 31036-7297
(478) 892-9670
(478) 892-9678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041283
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000687816C
—
GA
05
—
000687816D
—
GA
Enumeration date
06/21/2005
Last updated
04/23/2019
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