Organization
NORTHSIDE HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENUS BISKIS (CEO)
(678) 553-8682
Entity
Organization
Contact information
Practice address
7823 SPIVEY STATION BLVD, JONESBORO, GA 30236-2886
(770) 996-1122
Mailing address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
007979
GA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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