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MR. WRIGHT ABBOT EASTERLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
152 NORTH MAIN STREET, WADLEY, GA 30477
(478) 625-7000
(478) 625-8907
Mailing address
152 N MAIN ST, WADLEY, GA 30477-4951
(478) 625-7000
(478) 625-8907

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002747
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100000172A
GA
Enumeration date
07/31/2006
Last updated
09/22/2020
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