Organization
EASTSIDE GENERAL SURGERY LLC
Active
Other names
Eastside Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY LUCAS (OFFICE MANAGER)
(770) 972-7999
Entity
Organization
Contact information
Practice address
1600 MEDICAL WAY, SUITE 220, SNELLVILLE, GA 30078-2166
(770) 972-7999
(770) 972-9528
Mailing address
1600 MEDICAL WAY, SUITE 220, SNELLVILLE, GA 30078-2166
(770) 972-7999
(770) 972-9528
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
09/04/2013
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