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1568969145
NORTHSIDE PEDIATRIC ORTHOPAEDIC PROFESSIONAL SERVICES, LLC
ATLANTA, GA
NPI
1568969145
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Entity Type
Organization
Authorized Contact
JORGE J. HERNANDEZ
VP Admin. Srvs./Cco
404-851-6378
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2018-04-10
Last Update Date
2018-04-10
Business Address
NORTHSIDE PEDIATRIC ORTHOPAEDIC PROFESSIONAL SERVICES, LLC
1000 JOHNSON FY RD NE
ATLANTA, GA 30342-1606
Phone number: 404-851-6378
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Mailing Address
NORTHSIDE PEDIATRIC ORTHOPAEDIC PROFESSIONAL SERVICES, LLC
1100 JOHNSON FY RD NE STE 780
ATLANTA, GA 30342-1743
Phone number:
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