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Organization

MEDSIDE CORPORATION

Active
Other names
MedSide Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIKTOR VAYSMAN MD (CEO)
(404) 633-7433
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060-245-H
GA
251E00000X
Home Health Agency
060-R-0068
GA
253Z00000X
In Home Supportive Care Agency
060-R-0068
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003231615A
GA
05
00849527A
GA
05
00869943A
GA
05
00869943B
GA
05
00869943C
GA
05
00869943D
GA
Enumeration date
08/12/2006
Last updated
11/19/2020
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