Eastside General Surgery Llc in Snellville - Specialist
Eastside General Surgery Llc - NPI 1992869192
Eastside General Surgery Llc is a Specialist in Snellville, Georgia. Eastside General Surgery Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Eastside General Surgery Llc is 1992869192. The last update date is 2013-09-04.
Eastside General Surgery Llc's current location address is 1600 Medical Way, Snellville, Georgia. You can contact this provider via phone number 7709727999 and fax number 7709729528. The mailing address for Eastside General Surgery Llc is 1600 Medical Way, Snellville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastside General Surgery Llc |
|---|---|
| Address | 1600 Medical Way, Snellville, Georgia |
| Phone Number | 7709727999 |
| Fax Number | 7709729528 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Lucas Nancy |
| Telephone Number | 7709727999 |
NPI Number Detail
| NPI Number | 1992869192 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2013-09-04 |
Provider Mailing Address Detail
| Address | 1600 Medical Way |
|---|---|
| City | Snellville |
| State | Georgia (GA) |
| Post Code | 300782166 |
| Phone Number | 7709727999 |
| Fax Number | 7709729528 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code issued to Eastside General Surgery Llc by the Centers for Medicare & Medicaid Services?
The Eastside General Surgery Llc has been assigned the NPI (National Provider Identifier) 1992869192 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Eastside General Surgery Llc is located?
The Eastside General Surgery Llc is situated at the following address: 1600 Medical Way, Snellville, GA, 300782166.
What is Eastside General Surgery Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eastside General Surgery Llc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992869192 to Eastside General Surgery Llc?
The Eastside General Surgery Llc received its 1992869192 assignment from the Centers for Medicare & Medicaid Services on 2006-12-21.
As of what date were the Eastside General Surgery Llc's details last updated?
The information pertaining to the Eastside General Surgery Llc, including its address, specialty, and other details, was most recently updated on 2013-09-04.