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Organization
NORTHSIDE HOSPITAL, INC.
Active
Organization
NORTHSIDE HOSPITAL, INC.
Active
Other names
Diagnostic Clinic Oncology Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMY E FOUTS (CHIEF COMPLIANCE OFFICER)
(404) 851-6968
Entity
Organization
Contact information
Practice address
1485 JESSE JEWELL PKWY NE STE 330, GAINESVILLE, GA 30501-3801
(470) 228-7070
Mailing address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
01/30/2020
Last updated
07/02/2026
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