Organization
FAMILY PRACTICE & URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EASTLYN ELOISE HARDING-MARIN M.D (MEDICAL DIRECTOR)
(678) 625-5431
Entity
Organization
Contact information
Practice address
3812 SALEM RD, COVINGTON, GA 30016-4528
(678) 625-5431
(678) 625-5455
Mailing address
3812 SALEM RD, COVINGTON, GA 30016-4528
(678) 625-5431
(678) 625-5455
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
056841
GA
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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