# NORTH FULTON REGIONAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184073231
- **Authorized official:** MICHAEL ALAN CAPAK (REP, PAYMENT & RESEARCH)
- **Authorized official phone:** (469) 803-4500

## Contact information

- **Practice address:** 3000 HOSPITAL BLVD, ROSWELL, GA 30076-4915
- **Practice address phone:** (770) 751-2500
- **Mailing address:** 3000 HOSPITAL BLVD, ROSWELL, GA 30076-4915
- **Mailing address phone:** (770) 751-2500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2016
- **Last updated:** 09/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1750312997 | — | GA |