Provider Type Icon

EAST CLINIC LLC NPI 1831563261


NPI Information

NPI: 1831563261
Provider Name: EAST CLINIC LLC

Doing Business As: THE EAST CLINIC, LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
539 HARDEE ST
DALLAS, GA
ZIP 30132
Phone: (770) 505-0531
Get Directions

EAST CLINIC LLC is a family medicine in Dallas, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EAST CLINIC LLC NPI is 1831563261. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The East Clinic, Llc.

The provider's business location address is:

539 HARDEE ST
DALLAS, GA
ZIP 30132-711
Phone: (770) 505-0531
Fax: (770) 485-0570

The provider's authorized official is Mary J East .
The authorized official title is Owner/physician and has the following contact phone number (770) 505-0531.

The enumeration date for this NPI number is 11/23/2015 and was last updated on 12/3/2015.


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
1207Q00000XFamily Medicine63187GEORGIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.