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Organization
EASTSIDE VENTURES INC.
Active
Organization
EASTSIDE VENTURES INC.
Active
Parent organization
EASTSIDE VENTURES, INC.
Other names
Oneonta Family Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTSIDE VENTURES, INC.
Authorized official
MRS. VICKI H PARKS CPA (CHIEF ACCOUNTING OFFICER)
(205) 838-3718
Entity
Organization
Contact information
Practice address
150 GILBREATH DR, SUITE 201, ONEONTA, AL 35121-2827
(205) 274-3055
Mailing address
150 GILBREATH DR, SUITE 201, ONEONTA, AL 35121-2827
(205) 274-3055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
02/03/2011
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