Individual
BAXTER RAYMOND EASLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4083 CLOUD SPRINGS RD, RINGGOLD, GA 30736-8411
(706) 820-6350
Mailing address
4083 CLOUD SPRINGS RD, RINGGOLD, GA 30736-8411
(706) 820-6350
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN0279621
GA
164W00000X
Licensed Practical Nurse
Primary
PO27962
GA
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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