Eastside Urology

NPI 1073720959 - Urology - 208800000X

NPI Details
NPI 1073720959
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CAROLYN L CAROLYN
Position DIRECTOR OF BILLING
Phone (770) 736-8368
Fax (770) 736-8410
Practice Location
2121 FOUNTAIN DR
SUITE D
SNELLVILLE GA, 30078-7023, US
Phone (770) 736-8368
Fax (770) 736-8410
Business Location
2121 FOUNTAIN DR
SNELLVILLE GA, 30078-7023, US
Phone (770) 736-8368
Fax (770) 736-8410
Toxanomy
Taxonomy Code 208800000X
License State
License Number
Remove 1073720959 NPI Number
 

According to our database, Eastside Urology NPI is 1073720959, taxonomy code is 208800000X Eastside Urology physically located at 2121 Fountain Dr, Snellville GA, 30078-7023. NPI Number 1033115704 has the healthcare provider type.

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1073720959 NPI number is provided on an as is basis without warranty of any kind. 1073720959 is maintained by the National Plan & Provider Enumeration System. The contents of Eastside Urology are for informational purposes only.