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Northside Maternidad
Medical Specialty Clinic/Center in Norcross, Georgia
NPI 1477912475

Northside Maternidad is a Medical Specialty Clinic/Center based in Norcross, GA and is specialized in Medical Specialty. Northside Maternidad practices in Norcross, GA. The NPI Number for Northside Maternidad is 1477912475 and holds a License No. 040065 (Georgia).

The current practice location address for Northside Maternidad is 5395 Jimmy Carter Blvd, Norcross, GA and can be reached out via phone at 678-585-4787 and via fax at 470-375-8759.

Location: 5395 Jimmy Carter Blvd, Norcross, GA, 30093-1502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477912475
Provider Name
Northside Maternidad
Credential
Provider Entity Type
Organization
Address
5395 Jimmy Carter Blvd, Norcross, GA, 30093-1502
Phone Number
678-585-4787
Fax Number
470-375-8759
Provider Enumeration Date
02/18/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003169207A 05 GA
institution
Provider Business Practice Location Address Details
Address
5395 Jimmy Carter Blvd
City
Norcross
State
Georgia
Zip
30093-1502
Phone Number
678-585-4787
Fax Number
470-375-8759
person
Provider Business Mailing Address Details
Address
5395 Jimmy Carter Blvd
City
Norcross
State
Georgia
Zip
30093-1502
Phone Number
678-585-4787
Fax Number
470-375-8759
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
040065 (Georgia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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