Organization
NORTHSIDE WOMENS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORRI E GAY (PRESIDENT OWNER)
(770) 455-4210
Entity
Organization
Contact information
Practice address
3543 CHAMBLEE DUNWOODY ROAD, ATLANTA, GA 30341-2454
(770) 455-4210
(770) 451-9529
Mailing address
3543 CHAMBLEE DUNWOODY ROAD, ATLANTA, GA 30341-2454
(770) 455-4210
(770) 451-9529
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
044023
GA
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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