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Organization
MEDSIDE CORPORATION
Active
Organization
MEDSIDE CORPORATION
Active
Other names
MedSide Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKTOR VAYSMAN MD (CEO)
(404) 633-7433
Entity
Organization
Contact information
Practice address
1120 HOPE ROAD, SANDY SPRINGS, GA 30350
(404) 633-7433
(888) 633-7430
Mailing address
1120 HOPE RD # 310, SANDY SPRINGS, GA 30350-2957
(404) 633-7433
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060-245-H
GA
251E00000X
Home Health Agency
060-R-0068
GA
253Z00000X
In Home Supportive Care Agency
060-R-0068
GA
Other
Enumeration date
08/12/2006
Last updated
11/19/2020
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