# NORTHSIDE HOSPITAL CHEROKEE

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

## Provider details

- **NPI number:** 1265982300
- **Authorized official:** DR. BARBARA CUSHMAN RUTT PHARM D. (CLINICIAL COORDINATOR)
- **Authorized official phone:** (770) 720-5274

## Contact information

- **Practice address:** 201 HOSPITAL RD, CANTON, GA 30114-2408
- **Practice address phone:** (770) 720-5272
- **Mailing address:** 201 HOSPITAL RD, CANTON, GA 30114-2408
- **Mailing address phone:** (770) 720-5272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | PHH004103 | GA | Yes |

## Other

- **Enumeration date:** 10/13/2016
- **Last updated:** 10/13/2016