Organization · Type 2 NPI
Eastside Medspa and Family Practice Inc.
Primary Care Clinic/Center · Covington, GA
NPI number
1154330348
Active
Practice location
7138 Highway 212, Suite D
Covington, GA 30016-8047
Mailing address
2320 Haflinger Cir
Conyers, GA 30012-5292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 057439 (GA) |
Primary Care Clinic/Center: Definition to come...
5 other providers at this address
- Auriyan Baptiste, RBTBehavior Analyst Covington, GA NPI 1265005540
- Dana DixonBehavior Analyst Covington, GA NPI 1558061671
- Danielle Ashlene Sanders-Pacheco, BCBABehavior Analyst Covington, GA NPI 1497360630
- Destiney Maylor Duhaney, BCBABehavior Analyst Covington, GA NPI 1770118945
- Kiera Symone Burton, BCBABehavior Analyst Covington, GA NPI 1619586013
Other primary care clinic/center providers in Covington
About NPI 1154330348
Eastside Medspa and Family Practice Inc.'s National Provider Identifier is 1154330348, issued on Aug 5, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Covington, GA. The record was last updated on Aug 22, 2020.