Organization
EASTSIDE BEHAVIORAL HEALTH ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY DUNCAN (AUTHORIZED OFFICIAL)
(615) 886-4969
Entity
Organization
Contact information
Practice address
2160 FOUNTAIN DR, SUITE 100, SNELLVILLE, GA 30078-7022
(678) 761-0688
Mailing address
2160 FOUNTAIN DR, SUITE 100, SNELLVILLE, GA 30078-7022
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/01/2014
Last updated
05/12/2014
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