NORTHSIDE CV PROFESSIONAL SERVICES LLC

LAWRENCEVILLE, GA
NPI1821612938
Entity TypeOrganization
Authorized ContactJORGE J HERNANDEZ
VP Admin. Svc./Cco
404-851-6378
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
Enumeration Date2020-06-04
Last Update Date2021-08-12
Business Address
NORTHSIDE CV PROFESSIONAL SERVICES LLC
755 WALTHER RD
LAWRENCEVILLE, GA 30046-8725
Phone number: 770-962-0399
Mailing Address
NORTHSIDE CV PROFESSIONAL SERVICES LLC
1001 SUMMIT BLVD STE 1000
BROOKHAVEN, GA 30319-6415
Phone number: 404-851-6378