Northside Bariatric Surgery Center

NPI #1891836342 in Atlanta, Georgia

Provider Information

NPI Number: 1891836342
Entity Type: Organization
Organization Name: Northside Bariatric Surgery Center
Primary Specialty: Surgery
Enumeration Date: Feb 9, 2007
Last Updated: Nov 23, 2020

Practice Location

Address: 960 JOHNSON FERRY RD NE
Address 2: SUITE 228
City: Atlanta
State: Georgia
ZIP Code: 30342-1631
Phone: (404) 252-2220

Authorized Official

Name: TIFANY BOSTWICK
Title: OFFICE ADMINISTRATOR
Phone: (404) 252-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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