Organization
EASTSIDE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PICKETT (VP)
(770) 982-9450
Entity
Organization
Contact information
Practice address
1800 TREE LN, SUITE 270, SNELLVILLE, GA 30078-2016
(770) 982-9450
Mailing address
1800 TREE LN, SUITE 270, SNELLVILLE, GA 30078-2016
(770) 982-9450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/08/2006
Last updated
08/29/2007
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