Organization
EASTSIDE HEART AND VASCULAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL SYKES (VICE PRESIDENT)
(615) 342-6878
Entity
Organization
Contact information
Practice address
766 WALTHER RD STE 100, LAWRENCEVILLE, GA 30046-8765
(770) 736-6300
Mailing address
3 MARYLAND FARMS, BRENTWOOD, TN 37027-5005
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
03/17/2018
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