Northside Maternidad

LBN: Northside Maternidad
Northside Maternidad is an health care organization with primary practice located at 5395 Jimmy Carter Blvd Suite 500, Norcross GA 30093-1502. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Northside Maternidad can be contacted via phone (678) 585-4787, or through Freeman, Neale P. via phone (678) 585-4787.

Contact Information

Primary practice address
5395 Jimmy Carter Blvd Suite 500 Norcross GA 30093-1502
Phone: (678) 585-4787
Fax: (470) 375-8759
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Neale P. Doctor of Medicine (MD)
Phone: (678) 585-4787

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 040065 Georgia

Profile Details

NPI number 1477912475
LBN Legal business name Northside Maternidad
DBA Doing business as
Authorized official Freeman, Neale P. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2016
Last updated Feb 18th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477912475 NPPES
Georgia MEDICAID 003169207A

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