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

Eastside Urology

Organization Urology Physician · NPI 1073720959

Eastside Urology is an Urology Physician in Snellville, Georgia. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2121 Fountain Dr Ste D
Snellville, GA 30078-7023
Phone: (770) 736-8368
Fax: (770) 736-8410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1073720959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Vickers — Director Of Billing · (770) 736-8368
NPI enumeratedMay 17, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2121 Fountain Dr, Snellville, GA 30078-7023

Other providers in Snellville