Provider Demographics
NPI:1144373051
Name:EASTERLIN, NATHAN BRADLEY (MD)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:BRADLEY
Last Name:EASTERLIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2500 STARLING ST
Mailing Address - Street 2:SUITE 603
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4265
Mailing Address - Country:US
Mailing Address - Phone:912-280-9977
Mailing Address - Fax:912-280-9995
Practice Address - Street 1:2500 STARLING ST
Practice Address - Street 2:SUITE 603
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4265
Practice Address - Country:US
Practice Address - Phone:912-280-9977
Practice Address - Fax:912-280-9995
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2020-10-28
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Provider Licenses
StateLicense IDTaxonomies
GA62971208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery