Individual
DR. KENNETH SCOTT EASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 15TH STREET, AF-1020, AUGUSTA, GA 30912
(706) 721-4467
(706) 721-9081
Mailing address
1120 15TH STREET, AF-1020, AUGUSTA, GA 30912
(706) 721-4467
(706) 721-9081
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10780
GA
225100000X
Physical Therapist
10785
NC
Other
Enumeration date
11/08/2006
Last updated
01/11/2022
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