Northside Nama Professional Services, LLC

NPI #1205481736 in Decatur, Georgia

Provider Information

NPI Number: 1205481736
Entity Type: Organization
Organization Name: Northside Nama Professional Services, LLC
Primary Specialty: Family Medicine
Enumeration Date: Aug 1, 2019
Last Updated: Aug 1, 2019

Practice Location

Address: 2545 LAWRENCEVILLE HWY STE 200
City: Decatur
State: Georgia
ZIP Code: 30033-3240
Phone: (770) 934-7876

Authorized Official

Name: MR. JORGE HERNANDEZ
Title: CCO
Phone: (404) 851-6378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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