| NPI | 1942241781 |
|---|---|
| Doing Business As | EASTSIDE MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | GINA MICHELLE HILLERS Credentialing Specialist 864-560-4057 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-04-20 |