Mr. Kevin Gernon Eatmon
Orthodontists
275 14th St Nw Ste 100
Atlanta
, Georgia 30318-9100
Mr. Kevin Gernon Eatmon
Orthodontists
275 14th St Nw Ste 100
Atlanta
, Georgia 30318-9100
(404) 254-0847
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Mr. Kevin Gernon Eatmon
- 2931 Grey Moss Pass
- Duluth, GA
- Zip : 30097-6274
- Fax : (404) 254-0847
- Phone : (404) 254-0149
Second Address
- Mr. Kevin Gernon Eatmon
- 275 14th St Nw Ste 100
- Atlanta, GA
- Zip : 30318-9100
- Fax : (404) 254-0847
- Phone : (404) 254-0149
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | DNO12725 | GA |
National Provider Identifier
| NPI | 1003987884 |
|---|---|
| Provider Name | Mr. Kevin Gernon Eatmon |
| First Address | Duluth, GA 30097-6274 |
| Second Address | Atlanta, GA 30318-9100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2006 |
| Last Update Date | 28/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.