Easom, Jeffrey Charles

Easom, Jeffrey Charles is an individual health care provider with primary practice located at 3051 Watson Blvd Suite 400, Warner Robins GA 31093-8536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Easom, Jeffrey Charles can be contacted via phone (478) 953-4563.

Contact Information

Primary practice address

3051 Watson Blvd Suite 400 Warner Robins GA 31093-8536

Phone: (478) 953-4563

Fax: (478) 953-4616

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Sports Medicine	207XX0005X	054269	Georgia

Profile Details

NPI number	1730146739
LBN Legal business name	Easom, Jeffrey Charles
Credentials	Doctor of Osteopathy (DO)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Apr 26th, 2006
Last updated	Oct 26th, 2012 - about 12 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1730146739	NPPES
Georgia	MEDICAID	976624642A

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