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Organization
EASTSIDE MEDICAL CENTER, LLC
Active
Organization
EASTSIDE MEDICAL CENTER, LLC
Active
Other names
EASTSIDE MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
AMY N. WHEELER (CFO)
(770) 736-2420
Entity
Organization
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-0200
(770) 736-2395
Mailing address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-0200
(770) 736-2395
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404383429
—
MI
Enumeration date
05/22/2006
Last updated
01/24/2017
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