Organization
AGA PROFESSIONAL SERVICES, LLC
Active
Parent organization
NORTHSIDE HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHSIDE HOSPITAL
Authorized official
AMY E FOUTS (CHIEF COMPLIANCE OFFICER)
(404) 851-6968
Entity
Organization
Contact information
Practice address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(855) 709-4535
Mailing address
1000 JOHNSON FY RD NE, SANDY SPRINGS, GA 30342-1606
(404) 851-8000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
GA
Other
Enumeration date
11/03/2011
Last updated
06/09/2026
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