Northside Surgical Associate

NPI #1740355338 in Jasper, Georgia

Provider Information

NPI Number: 1740355338
Entity Type: Organization
Organization Name: Northside Surgical Associate
Primary Specialty: Surgery
Enumeration Date: Nov 21, 2006
Last Updated: May 22, 2008

Practice Location

Address: 80 INTERSTATE SOUTH DR
Address 2: STE B
City: Jasper
State: Georgia
ZIP Code: 30143-6226
Phone: (706) 692-9081

Authorized Official

Name: ROSA L LANGELLA, M.D.
Title: CO OWNER
Phone: (706) 692-9081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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