# EASTSIDE MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EASTSIDE MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649224692
- **Authorized official:** AMY N. WHEELER (CFO)
- **Authorized official phone:** (770) 736-2420

## Contact information

- **Practice address:** 1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
- **Practice address phone:** (770) 979-0200
- **Practice address fax:** (770) 736-2395
- **Mailing address:** 1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
- **Mailing address phone:** (770) 979-0200
- **Mailing address fax:** (770) 736-2395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 01/24/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 404383429 | — | MI |