Organization
NORTHSIDE HOSPITAL CHEROKEE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY DUNN R.PH. (MANAGER)
(770) 720-5272
Entity
Organization
Contact information
Practice address
201 HOSPITAL RD, CANTON, GA 30114-2408
(770) 720-5272
(770) 720-5455
Mailing address
201 HOSPITAL RD, CANTON, GA 30114-2408
(770) 720-5272
(770) 720-5455
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHH004103
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001108A
—
GA
Enumeration date
08/11/2005
Last updated
08/22/2020
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