NPI | 1275380701 |
---|---|
Doing Business As | NORTHSIDE WGG |
Entity Type | Organization |
Authorized Contact | JORGE J HERNANDEZ VP Admin Svcs/Cco 404-851-6378 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2024-05-02 |
Last Update Date | 2025-10-01 |