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1073720959
EASTSIDE UROLOGY
SNELLVILLE, GA
NPI
1073720959
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Entity Type
Organization
Authorized Contact
CAROLYN L VICKERS
Director Of Billing
770-736-8368
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2007-05-17
Last Update Date
2020-08-22
Business Address
EASTSIDE UROLOGY
2121 FOUNTAIN DR SUITE D
SNELLVILLE, GA 30078-7023
Phone number: 770-736-8368
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Mailing Address
EASTSIDE UROLOGY
2121 FOUNTAIN DR
SNELLVILLE, GA 30078-7023
Phone number: 770-736-8368
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