| Westside Medical Associates | |
|
3825 Medical Park Dr Suite 300 Austell GA 30106-1109 | |
| (770) 941-4810 | |
| (770) 948-9149 |
| Full Name | Westside Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 3825 Medical Park Dr, Austell, Georgia |
| Authorized Official Name and Position | Devon Charles Spencer (PRACTICE MANAGER) |
| Authorized Official Contact | 7709414810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Medical Associates Po Box 650 Austell GA 30168-1007 Ph: (770) 941-4810 | Westside Medical Associates 3825 Medical Park Dr Suite 300 Austell GA 30106-1109 Ph: (770) 941-4810 |
| NPI Number | 1366586422 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 07/16/2007 |
| Medicare PECOS PAC ID | 5193625887 |
|---|---|
| Medicare Enrollment ID | O20040109000710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366586422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Jasmine G Jeffers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518950617 PECOS PAC ID: 9335049022 Enrollment ID: I20040112000068 |
| Provider Name | Rashila S Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093208050 PECOS PAC ID: 0042554958 Enrollment ID: I20181204001795 |
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