Provider Demographics
NPI:1184598716
Name:EASTCHESTER MEDICAL INC
Entity type:Organization
Organization Name:EASTCHESTER MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-242-5250
Mailing Address - Street 1:250 GEORGIA AVE SE STE 206
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-3000
Mailing Address - Country:US
Mailing Address - Phone:404-242-5250
Mailing Address - Fax:404-653-0375
Practice Address - Street 1:137 N ERWIN ST
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-3123
Practice Address - Country:US
Practice Address - Phone:404-653-0374
Practice Address - Fax:404-653-0375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care