Northside Imaging LLC

NPI #1699122291 in Demorest, Georgia

Provider Information

NPI Number
1699122291
Entity Type
Organization
Organization Name
Northside Imaging LLC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
May 24, 2016
Last Updated
May 24, 2016

Practice Location

Address
638 441 HISTORIC HWY N
Address 2
SUITE D
State
Georgia
ZIP Code
30535-4574
Phone
(706) 454-9900

Authorized Official

Name
JORGE J HERNANDEZ
Title
VP-ADMIN, CCO
Phone
(404) 851-6378

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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