Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eastside Internal Medicine, LLC

Organization Legal Medicine · NPI 1932256526

Eastside Internal Medicine, LLC is a Legal Medicine in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2080 Eastside Dr Ste A
Conyers, GA 30013-1953
Phone: (678) 625-7800
Fax: (678) 625-7888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Legal Medicine (primary) Taxonomy 173000000X (GA)

Record details

NPI number1932256526
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henrietta Maddox — Office Manager · (678) 625-7800
NPI enumeratedJanuary 4, 2007
Last updated in NPPESJuly 21, 2022
Mailing address2080 Eastside Dr, Suite A, Conyers, GA 30013-1953

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