Organization
NORTHSIDE URGENT CARE HOLDING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE J. HERNANDEZ (VP OD ADMIN SERVICES AND CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(404) 851-8809
Mailing address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
GA
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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