| NPI | 1386062255 |
|---|---|
| Doing Business As | NORTHSIDE/DUNWOODY SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JORGE J HERNANDEZ VP/Chief Compliance Officer 404-851-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 044-281) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |