Organization
NORTHSIDE CARDIOVASCULAR INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE J. HERNADEZ (VP ADMIN & SVCS. / CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
1110 W PEACHTREE ST NW STE 920, ATLANTA, GA 30309-3609
(855) 709-4535
Mailing address
1000 JOHNSON FERRY ROAD, N.E., ATTN: JORGE HERNANDEZ, ATLANTA, GA 30342-1606
(404) 851-6378
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
06/03/2025
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