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Organization
NORTHSIDE HOSPITAL, INC.
Active
Organization
NORTHSIDE HOSPITAL, INC.
Active
Other names
Atlanta Cancer Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMY E FOUTS (CHIEF COMPLIANCE OFFICER)
(404) 851-6968
Entity
Organization
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD STE 1100, ATLANTA, GA 30342-4795
(404) 851-2368
(404) 851-2009
Mailing address
PO BOX 935689, ATLANTA, GA 31193-0001
(404) 851-2368
(404) 851-2009
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE08919
GA
Other
Enumeration date
07/26/2006
Last updated
07/01/2026
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