Northside Surgical Professional Services LLC

NPI #1356630990 in Atlanta, Georgia

Provider Information

NPI Number: 1356630990
Entity Type: Organization
Organization Name: Northside Surgical Professional Services LLC
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHSIDE HOSPITAL INC
Primary Specialty: Surgery
Enumeration Date: Apr 5, 2011
Last Updated: Jun 2, 2025

Practice Location

Address: 1000 JOHNSON FERRY RD NE
City: Atlanta
State: Georgia
ZIP Code: 30342-1606
Phone: (855) 709-4535

Authorized Official

Name: JORGE J HERNANDEZ
Title: VP OF ADMIN SERVICES AND CCO
Phone: (404) 851-6378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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