| Eastside Internal Medicine, Llc | |
|
2080 Eastside Dr Suite A Conyers GA 30013-1953 | |
| (678) 625-7800 | |
| (678) 625-7888 |
| Full Name | Eastside Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2080 Eastside Dr, Conyers, Georgia |
| Authorized Official Name and Position | Syed Wasim (OWNER) |
| Authorized Official Contact | 6786257800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Internal Medicine, Llc 2080 Eastside Dr Suite A Conyers GA 30013-1953 Ph: (678) 625-7800 | Eastside Internal Medicine, Llc 2080 Eastside Dr Suite A Conyers GA 30013-1953 Ph: (678) 625-7800 |
| NPI Number | 1437211703 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437211703 | NPI | - | NPPES |
| 1093773905 | Other | GA | NPI NUMBER |
| 1992763809 | Other | GA | NPI NUMBER |
| 1871551788 | Other | GA | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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