Organization
NORTHSIDE WOMENS SPECIALISTS LLC
Active
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
980 JOHNSON FY RD NE STE 620, ATLANTA, GA 30342-1608
(404) 255-2057
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
07/14/2025
Last updated
07/14/2025
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