Organization
NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC
Active
Other names
NGDC SLEEP MED LAB
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE J. HERNANDEZ (VP ADMIN./CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
1240 JESSE JEWELL PKWY SE STE 500, GAINESVILLE, GA 30501-3861
(770) 536-9864
Mailing address
1240 JESSE JEWELL PKWY SE STE 600, GAINESVILLE, GA 30501-3863
(770) 536-9864
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
11/29/2023
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