EASTSIDE INTERNAL MEDICINE LLC NPI 1932256526

NPI Details

EASTSIDE INTERNAL MEDICINE, LLC is a legal medicine in Conyers, GA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. EASTSIDE INTERNAL MEDICINE, LLC NPI is 1932256526. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2080 EASTSIDE DR
SUITE A
CONYERS, GA
ZIP 30013-953
Phone: (678) 625-7800
Fax: (678) 625-7888

The provider's authorized official is Henrietta Maddox .
The authorized official title is Office Manager and has the following contact phone number (678) 625-7800.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 7/21/2022.

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: