Eastside General Surgery LLC

NPI #1992869192 in Snellville, Georgia

Provider Information

NPI Number: 1992869192
Entity Type: Organization
Organization Name: Eastside General Surgery LLC
Primary Specialty: Specialist
Enumeration Date: Dec 21, 2006
Last Updated: Sep 4, 2013

Practice Location

Address: 1600 MEDICAL WAY
Address 2: SUITE 220
City: Snellville
State: Georgia
ZIP Code: 30078-2166
Phone: (770) 972-7999

Authorized Official

Name: NANCY LUCAS
Title: OFFICE MANAGER
Phone: (770) 972-7999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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