Doctor Name: | DR. PATRICIA ANN EASON |
NPI Number: | 1831276104 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD016565 |
Business Practice Address: | 730 E 11th St Chattanooga, TN - 374033103 |
Business Phone Number: | 4232655708 |
Business Fax Number: | 4232655713 |
Mailing Address: | 4124 Melinda Dr, CHATTANOOGA |
State: | TN |
Postal Code: | 374163005 |
Phone Number: | 4238947434 |
Fax Number: | 4238920340 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD016565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |