Organization
EASTSIDE MEDICAL CENTER, LLC
Active
Other names
EASTSIDE MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
AMY N. WHEELER (CFO)
(770) 736-2420
Entity
Organization
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-0200
(770) 736-2395
Mailing address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-0200
(770) 736-2395
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10746B
—
SC
Enumeration date
05/22/2006
Last updated
01/24/2017
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