| NPI | 1447753173 |
|---|---|
| Former Legal Business Name | NORTHSIDE ADVANCED JOINT SURGERY CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | JORGE J. HERNANDEZ VP Admin Srvs./Cco 404-851-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-16 |