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Individual

DOUGLAS A EASTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3000 EDWARD CURD LN, FRANKLIN, TN 37067-5791
(615) 791-2630
(615) 791-2639
Mailing address
3000 EDWARD CURD LN, FRANKLIN, TN 37067-5791
(615) 791-2630
(615) 791-2639

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4038
TN
363AM0700X
Medical Physician Assistant
085003810
IL
363AM0700X
Medical Physician Assistant
4038
TN
363AS0400X
Surgical Physician Assistant
085003810
IL
363AS0400X
Surgical Physician Assistant
Primary
4038
TN

Other

Enumeration date
08/06/2010
Last updated
02/18/2025
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