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Organization
NORTH FULTON REGIONAL
Active
Organization
NORTH FULTON REGIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALAN CAPAK (REP, PAYMENT & RESEARCH)
(469) 803-4500
Entity
Organization
Contact information
Practice address
3000 HOSPITAL BLVD, ROSWELL, GA 30076-4915
(770) 751-2500
Mailing address
3000 HOSPITAL BLVD, ROSWELL, GA 30076-4915
(770) 751-2500
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750312997
—
GA
Enumeration date
06/09/2016
Last updated
09/19/2016
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