| NPI | 1992869192 |
|---|---|
| Doing Business As | EASTSIDE SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | NANCY LUCAS Office Manager 770-972-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2013-09-04 |