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 Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Eastside Internal Medicine, Llc can be contacted via phone (678) 625-7800, or through Maddox, Henrietta 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: Maddox, Henrietta
Phone: (678) 625-7800

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X Georgia

Profile Details

NPI number 1932256526
LBN Legal business name Eastside Internal Medicine, Llc
DBA Doing business as
Authorized official Maddox, Henrietta
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Jul 21st, 2022 - about 3 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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