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Provider Information for 1316921125

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. ERNEST BERNARD EASON MD

Gender: MALE

Individual NPI: 1316921125

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1316921125
Enumeration Date 2005-12-05
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address PO BOX 3481 1522 VAUGHN ROAD
BURLINGTON, NC 27215-0481
United States

Phone: 336-226-1658 | Fax: 336-228-9363
View Map External Link
Primary Practice Address 1522 VAUGHN RD
BURLINGTON, NC 27217-2853
United States

Phone: 336-226-1658 | Fax: 336-228-9363
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID NC 8929874
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine NC 26815
No 207R00000X - Internal Medicine OH 35046574