Individual
DR. CYNTHIA J EASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
641 MORGANTON SQUARE DR, MARYVILLE, TN 37801-4763
(865) 724-1590
(865) 724-1591
Mailing address
641 MORGANTON SQUARE DR, MARYVILLE, TN 37801-4763
(865) 724-1590
(865) 724-1591
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41505
TN
208000000X
Pediatrics Physician
MD41505
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3833711
—
TN
Enumeration date
01/15/2007
Last updated
05/04/2022
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