Organization
GWINNETT CARDIOLOGY SERVICES LLC
Active
Parent organization
NORTHSIDE HOSPITAL, INC
Other names
Cardiovascular Group PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHSIDE HOSPITAL, INC
Authorized official
MR. JORGE HERNANDEZ (VP ADMIN; CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
755 WALTHER RD, LAWRENCEVILLE, GA 30046-8725
(855) 709-4535
(770) 339-3459
Mailing address
1000 JOHNSON FERRY ROAD, ATTN: JORGE HERNANDEZ, ATLANTA, GA 30342-1170
(404) 851-6378
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
02/08/2013
Last updated
06/25/2025
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