Easterly Family Medicine

NPI #1649538802 in Maryville, Tennessee

Provider Information

NPI Number: 1649538802
Entity Type: Organization
Organization Name: Easterly Family Medicine
Primary Specialty: Family Medicine
Enumeration Date: Apr 25, 2012
Last Updated: Apr 25, 2012

Practice Location

Address: 104 PARLIAMENT DRIVE
City: Maryville
State: Tennessee
ZIP Code: 37804-6209
Phone: (865) 233-7425

Authorized Official

Name: JEFFREY EASTERLY
Title: OWNER
Phone: (865) 233-7425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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