| NPI | 1831563261 |
|---|---|
| Doing Business As | THE EAST CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | MARY J EAST Owner/Physician 770-505-0531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 63187) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-12-03 |