Northside Cv Professional Services LLC
NPI #1821612938 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1821612938
- Entity Type
- Organization
- Organization Name
- Northside Cv Professional Services LLC
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Jun 4, 2020
- Last Updated
- Jun 2, 2025
Practice Location
- Address
- 755 WALTHER RD
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30046-8725
- Phone
- (770) 962-0399
Authorized Official
- Name
- JORGE J HERNANDEZ
- Title
- VP ADMIN. SVC./CCO
- Phone
- (404) 851-6378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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