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Organization

NORTHSIDE WOMENS GROUP LLC

Active
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Organization

NORTHSIDE WOMENS GROUP LLC

Active
Parent organization
NORTHSIDE HOSPITAL, INC
Other names
Northside Womens Practice LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHSIDE HOSPITAL, INC
Authorized official
JORGE J. HERNANDEZ (VP ADMIN SVCS/CCO)
(404) 851-6378
Entity
Organization

Contact information

Practice address
460 NORTHSIDE CHEROKEE BLVD STE 360, CANTON, GA 30115-8019
(770) 255-2550
Mailing address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—

Other

Enumeration date
12/05/2025
Last updated
12/05/2025
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