Northside Hospital, INC

NPI #1356841159 in Canton, Georgia

Provider Information

NPI Number: 1356841159
Entity Type: Organization
Organization Name: Northside Hospital, INC
Primary Specialty: Pharmacy - Community/Retail Pharmacy
Enumeration Date: Feb 19, 2018
Last Updated: Feb 19, 2018

Practice Location

Address: 450 NORTHSIDE CHEROKEE BLVD
City: Canton
State: Georgia
ZIP Code: 30115-8015
Phone: (770) 224-1250

Authorized Official

Name: JUDY GARDNER
Title: DIRECTOR
Phone: (404) 851-6793

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X	Primary

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