Organization
CENTER FOR COLON AND DIGESTIVE CARE
Active
Other names
Northside Medical Specialists, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA SWAFFORD (OFFICE MANAGER)
(770) 704-9499
Entity
Organization
Contact information
Practice address
14 SAMMY MCGHEE BLVD, SUITE 201, JASPER, GA 30143-7721
(706) 692-6566
(706) 692-3896
Mailing address
15 REINHARDT COLLEGE PKWY, SUITE 102, CANTON, GA 30114-5257
(770) 704-9499
(770) 704-9754
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
046761
GA
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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