Search › Georgia › 207P00000X
Kenneth Easters, DO
NPI 1659440907 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1120 15th Street
Af-1020
Augusta, GA 30912 - Phone
- (706) 721-4467
- Fax
- (706) 721-9081
- Organisation at this address
- Mppg, Inc.
Ashwins, Llc
Mcg Health, Inc
Mcg Health, Inc
Augusta UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,705
Additional practice sites
- 400 Cedar St, Metter, GA
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 225100000X
- Licence states on file
- GA, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia