Eason, Jesse Blair
Eason, Jesse Blair is an individual health care provider with primary practice located at 2501 N Patterson St , Valdosta GA 31602-1735. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Eason, Jesse Blair can be contacted via phone (229) 333-1110.Contact Information
Primary practice address
2501 N Patterson St
Valdosta GA 31602-1735
Phone: (229) 333-1110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 6090 | Georgia |
Profile Details
| NPI number | 1659666063 |
|---|---|
| LBN Legal business name | Eason, Jesse Blair |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2011 |
| Last updated | Jan 10th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659666063 | NPPES |
| Georgia | MEDICAID | 003111610A |
Popular Providers
-
Stewart, Susan S
Maui Medical Group 2180 Main Street, Wailuku HI 96793 -
Dunning, April D.
548 Lone Oak Rd , Paducah KY 42003-4538 -
Preciado, Richard
1516 San Pablo St Fl 5 , Los Angeles CA 90033-5313 -
Engle, Jocelyn J
30 Community Dr , Easton PA 18045-2658 -
Harrington, Jennifer L.
841 S Highway 25 W # S Suite 5, Williamsburg KY 40769-4600 -
Welch, Kathryn A
220 S Hillside St Ste A , Wichita KS 67211-2151 -
Kauppi, Jeffrey D
200 Creekside Dr , Dickson TN 37055-2176 -
Young, Sharon Ann
7018 Blair Rd , Calipatria CA 92233-9633