# MEDSIDE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MedSide Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306858121
- **Authorized official:** DR. VIKTOR VAYSMAN MD (CEO)
- **Authorized official phone:** (404) 633-7433

## Contact information

- **Practice address:** 1120 HOPE ROAD, SANDY SPRINGS, GA 30350
- **Practice address phone:** (404) 633-7433
- **Practice address fax:** (888) 633-7430
- **Mailing address:** 1120 HOPE RD \# 310, SANDY SPRINGS, GA 30350-2957
- **Mailing address phone:** (404) 633-7433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 060-245-H | GA | Yes |
| 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