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1356630990
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
ATLANTA, GA
NPI
1356630990
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Entity Type
Organization
Authorized Contact
JORGE J HERNANDEZ
VP Of Admin Services And Cco
404-851-6378
Organization Subpart ?
Yes
Primary Taxonomy
208600000X Surgery
Enumeration Date
2011-04-05
Last Update Date
2023-01-11
Business Address
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342-1606
Phone number: 855-709-4535
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Mailing Address
NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342-1606
Phone number: 404-851-8000
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