| Eastside Endocrine, Pc | |
|
1600 Medical Way Suite200 Snellville GA 30078 | |
| (770) 979-7466 | |
| (770) 979-7455 |
| Full Name | Eastside Endocrine, Pc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1600 Medical Way, Snellville, Georgia |
| Authorized Official Name and Position | Naland P. Shenoy (PRESIDENT) |
| Authorized Official Contact | 7709797466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Endocrine, Pc 1600 Medical Way Suite 200 Snellville GA 30078 Ph: (770) 979-7466 | Eastside Endocrine, Pc 1600 Medical Way Suite200 Snellville GA 30078 Ph: (770) 979-7466 |
| NPI Number | 1811184245 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 12/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811184245 | NPI | - | NPPES |
| GRP5151 | Other | GA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 053165 (Georgia) | Primary |
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