Organization
MEDICAL ASSOCIATES PROFESSIONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE J. HERNANDEZ (VP-ADMIN, CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
320 HOSPITAL RD, CANTON, GA 30114-2432
(855) 709-4535
Mailing address
1100 JOHNSON FERRY RD, SUITE 780, ATLANTA, GA 30342-1709
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
10/11/2013
Last updated
06/02/2025
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