| Northside Hospital Inc | |
|
7823 Spivey Station Blvd Jonesboro GA 30236-2886 | |
| (770) 996-1122 | |
| Not Available |
| Full Name | Northside Hospital Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7823 Spivey Station Blvd, Jonesboro, Georgia |
| Authorized Official Name and Position | Venus Biskis (CEO) |
| Authorized Official Contact | 6785538682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Hospital Inc 1000 Johnson Ferry Rd Atlanta GA 30342-1606 Ph: () - | Northside Hospital Inc 7823 Spivey Station Blvd Jonesboro GA 30236-2886 Ph: (770) 996-1122 |
| NPI Number | 1699221648 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699221648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 007979 (Georgia) | Primary |
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