Eastside Internal Medicine, Llc

LBN: Eastside Internal Medicine, Llc
Eastside Internal Medicine, Llc is an health care organization with primary practice located at 2080 Eastside Dr Suite A, Conyers GA 30013-1953. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Eastside Internal Medicine, Llc can be contacted via phone (678) 625-7800, or through Wasim, Syed via phone (678) 625-7800.

Contact Information

Primary practice address
2080 Eastside Dr Suite A Conyers GA 30013-1953
Phone: (678) 625-7800
Fax: (678) 625-7888
Website:
Map and Directions
Authorized official contact:
Name: Wasim, Syed Doctor of Medicine (MD)
Phone: (678) 625-7800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1437211703
LBN Legal business name Eastside Internal Medicine, Llc
DBA Doing business as
Authorized official Wasim, Syed Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437211703 NPPES
Georgia Other 1093773905 NPI NUMBER
Georgia Other 1992763809 NPI NUMBER
Georgia Other 1871551788 NPI NUMBER

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