Organization
NORTHSIDE WOMENS GROUP LLC
Active
Parent organization
NORTHSIDE HOSPITAL, INC
Other names
Northside Womens Practice LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHSIDE HOSPITAL, INC
Authorized official
JORGE J. HERNANDEZ (VP ADMIN SVCS/CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
460 NORTHSIDE CHEROKEE BLVD STE 360, CANTON, GA 30115-8019
(770) 255-2550
Mailing address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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