Organization
AGA PROFESSIONAL SERVICES, LLC
Active
Parent organization
NORTHSIDE HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHSIDE HOSPITAL
Authorized official
JORGE HERNANDEZ (VP OF ADMIN SERVICES AND CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(855) 709-4535
Mailing address
1000 JOHNSON FERRY RD NE, ATLANTA, 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
06/02/2025
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