Organization
EASTSIDE ORTHOCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG M MINES M.D. (OWNER PRESIDENT)
(770) 978-1422
Entity
Organization
Contact information
Practice address
2820 MAIN ST W, SNELLVILLE, GA 30078-3156
(770) 978-1422
(770) 978-1423
Mailing address
2820 MAIN ST W, SNELLVILLE, GA 30078-3156
(770) 978-1422
(770) 978-1423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
GA
Other
Enumeration date
02/04/2007
Last updated
06/21/2021
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