# NORTHSIDE HOSPITAL INC

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

## Provider details

- **NPI number:** 1699221648
- **Authorized official:** VENUS BISKIS (CEO)
- **Authorized official phone:** (678) 553-8682

## Contact information

- **Practice address:** 7823 SPIVEY STATION BLVD, JONESBORO, GA 30236-2886
- **Practice address phone:** (770) 996-1122
- **Mailing address:** 1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 007979 | GA | Yes |

## Other

- **Enumeration date:** 08/30/2016
- **Last updated:** 08/30/2016