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Organization

SOUTHSIDE MEDICAL CENTER, INC.

Active
Other names
Southside Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MASRESHA KASSA CPA (CFO)
(404) 564-7009
Entity
Organization

Contact information

Practice address
2578 GRESHAM RD SE, ATLANTA, GA 30316-4138
(404) 564-0431
Mailing address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 688-1350
(404) 688-2962

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
GA
261Q00000X
Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000064336A
GA
Enumeration date
03/26/2007
Last updated
07/09/2025
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