Organization
NORTHSIDE HOSPITAL, INC.
Active
Other names
Northside Hospital Cherokee
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE J HERNANDEZ (VP ADMIN. SVCS/CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
Mailing address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(404) 851-1000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
028552
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001108A
—
GA
Enumeration date
07/24/2006
Last updated
05/07/2025
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