Organization
NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE HERNANDEZ (CCO)
(404) 851-8000
Entity
Organization
Contact information
Practice address
1285 UPPER HEMBREE RD, ROSWELL, GA 30076-1143
(855) 709-4535
Mailing address
1100 JOHNSON FY RD NE, CENTER POINTE BUILDING II, SUITE 780, ATLANTA, GA 30342-1709
(404) 851-6378
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/13/2006
Last updated
06/02/2025
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