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EASTSIDE RHEUMATOLOGY & INTERNAL MEDICINE NPI 1427249739


NPI Information

NPI: 1427249739
Provider Name: EASTSIDE RHEUMATOLOGY & INTERNAL MEDICINE
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 11D1075283

Address:
1567 SNELLVILLE COMMONS
SUITE 100
SNELLVILLE, GA
ZIP 30078
Phone: (770) 972-1022
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EASTSIDE RHEUMATOLOGY & INTERNAL MEDICINE is a rheumatology internal medicine in Snellville, GA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. EASTSIDE RHEUMATOLOGY & INTERNAL MEDICINE NPI is 1427249739. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1567 SNELLVILLE COMMONS
SUITE 100
SNELLVILLE, GA
ZIP 30078
Phone: (770) 972-1022

The provider's authorized official is Geetha Jonnala .
The authorized official title is Mbr and has the following contact phone number (770) 972-1022.

The CLIA number assigned to this NPI record is 11D1075283 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RR0500XInternal MedicineRheumatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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