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 |