Organization
NORTHSIDE WOMEN'S SPECIALIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GRONE (REIMBURSEMENT MANAGER)
(404) 255-2057
Entity
Organization
Contact information
Practice address
980 JOHNSON FERRY RD NE, SUITE 620, ATLANTA, GA 30342-1626
(404) 255-2057
(404) 256-4238
Mailing address
980 JOHNSON FERRY RD NE, SUITE 620, ATLANTA, GA 30342-1626
(404) 255-2057
(404) 256-4238
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
Other
Enumeration date
01/25/2007
Last updated
09/11/2025
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