| NPI | 1063627610 |
|---|---|
| Former Legal Business Name | SOUTHSIDE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | CLAUDIO AZZARITI CFO 404-564-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |