Organization
NORTHSIDE WOMENS GROUP LLC
Active
Other names
NORTHSIDE WGG
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE J HERNANDEZ (VP ADMIN SVCS/CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
595 HURRICANE SHOALS RD NW STE 110, LAWRENCEVILLE, GA 30046-8761
(770) 979-4700
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
05/02/2024
Last updated
05/14/2026
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