| NPI | 1659447654 |
|---|---|
| Doing Business As | EASTSIDE FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LISA ANN WEAVER Owner 931-424-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2015-02-02 |