Organization
GWINNETT HOSPITAL SYSTEM GME, LLC
Active
Parent organization
NORTHSIDE HOSPITAL, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHSIDE HOSPITAL, INC
Authorized official
MR. JORGE HERNANDEZ (VP ADMIN; CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(855) 709-4535
Mailing address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1611
(404) 851-6378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
02/25/2015
Last updated
06/02/2025
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