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Contact Information

EASTSIDE RHEUMATOLOGY & INTERNAL MEDICINE
1567 JANMAR RD STE 100
SNELLVILLE, GA30078-0308
 Phone: 770-972-1022
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for EASTSIDE RHEUMATOLOGY & INTERNAL MEDICINE

NPI # 1427249739
LBN Legal business name EASTSIDE RHEUMATOLOGY & INTERNAL MEDICINE
Authorized official GEETHA JONNALA - (MBR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2007
Last updated 04/30/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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