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Contact Information

EASTSIDE ALLIED HEALTH, LLC
3081 STONE MOUNTAIN ST
LITHONIA, GA30058-4426
 Phone: 770-482-1114
 Fax: 770-484-1206
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EASTSIDE ALLIED HEALTH LLC · (Female)

NPI # 1568582179
Status Active
Credentials
Entity Individual
Enumeration date 03/29/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 018820
  • GA License # 021747
  • GA License # CHIR006698
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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