| NPI | 1851332696 |
|---|---|
| Doing Business As | EASTSIDE MED ASSOC-SENIOR HEALTH |
| Entity Type | Organization |
| Authorized Contact | SUSAN BRUCE Credentialing Specialist 864-560-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |