Organization
NORTHSIDE RESPIRATORY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE EATON M.D. (PRESIDENT)
(404) 257-0006
Entity
Organization
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD NE, SUITE 370, ATLANTA, GA 30342-1705
(404) 257-0006
(678) 510-0018
Mailing address
5505 PEACHTREE DUNWOODY RD NE, SUITE 370, ATLANTA, GA 30342-1705
(404) 257-0006
(678) 510-0018
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02192
BCBS
GA
Enumeration date
07/26/2006
Last updated
04/07/2008
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