Organization
EASTSIDE MEDSPA AND FAMILY PRACTICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONIA ANDREA BROWN M.D. (PRESIDENT)
(772) 618-3133
Entity
Organization
Contact information
Practice address
7138 HIGHWAY 212, SUITE D, COVINGTON, GA 30016-8047
(770) 679-5238
Mailing address
2320 HAFLINGER CIR, CONYERS, GA 30012-5292
(772) 618-3133
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
057439
GA
Other
Enumeration date
08/05/2006
Last updated
08/22/2020
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