Northside Hospital, Inc.

NPI #1770112021 in Canton, Georgia

Provider Information

NPI Number
1770112021
Entity Type
Organization
Organization Name
Northside Hospital, Inc.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 7, 2020
Last Updated
Apr 7, 2020

Practice Location

Address
460 NORTHSIDE CHEROKEE BLVD STE 145
City
Canton
State
Georgia
ZIP Code
30115-8016
Phone
(404) 851-8000

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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