| 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 |