Eastside Ventures, Inc.

NPI #1598899395 in Oneonta, Alabama

Provider Information

NPI Number: 1598899395
Entity Type: Organization
Organization Name: Eastside Ventures, Inc.
Primary Specialty: Pediatrics
Enumeration Date: Mar 15, 2007
Last Updated: Feb 3, 2011

Practice Location

Address: 150 GILBREATH DR
Address 2: SUITE 201
City: Oneonta
State: Alabama
ZIP Code: 35121-2827
Phone: (205) 625-5711

Authorized Official

Name: MRS. VICKI H PARKS, CPA
Title: CHIEF ACCOUNTING OFFICER
Phone: (205) 838-3718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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