Organization
NORTHSIDE HOSPITAL, INC.
Active
Other names
Northside Hospital Gwinnett
Organization subpart
No
Provider details
NPI number
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
(678) 312-1000
Mailing address
1000 JOHNSON FERRY ROAD NE, ATTN: JORGE HERNANDEZ, ATLANTA, GA 30342
(404) 851-6378
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
067-460
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000294A
—
GA
Enumeration date
06/05/2006
Last updated
05/07/2025
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