Organization
EASTSIDE BARIATRIC & GENERAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIU SANNI M.D. (OWNER)
(678) 585-4657
Entity
Organization
Contact information
Practice address
1800 TREE LN STE 330, SNELLVILLE, GA 30078-4700
(678) 585-4657
Mailing address
1800 TREE LN STE 330, SNELLVILLE, GA 30078-4700
(678) 585-4657
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
068948
GA
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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