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Individual

STEVEN W EASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
217 CAMBRIDGE DR, MADISON, MS 39110-8976
(601) 278-0938
Mailing address
217 CAMBRIDGE DR, MADISON, MS 39110-8976
(601) 278-0938

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15463
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00120900
MS
Enumeration date
08/17/2006
Last updated
02/25/2013
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