Southside Medical Center, Inc. in Atlanta - Clinic/center
Southside Medical Center, Inc. - NPI 1063627610
Southside Medical Center, Inc. is a Clinic/center in Atlanta, Georgia. Southside Medical Center, Inc. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Southside Medical Center, Inc. is 1063627610. The last update date is 2020-08-22.
Southside Medical Center, Inc.'s current location address is 1046 Ridge Ave Sw, Atlanta, Georgia. You can contact this provider via phone number 4046881350 and fax number 4046882962. The mailing address for Southside Medical Center, Inc. is 1046 Ridge Ave Sw, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southside Medical Center, Inc. |
|---|---|
| Address | 1046 Ridge Ave Sw, Atlanta, Georgia |
| Phone Number | 4046881350 |
| Fax Number | 4046882962 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Azzariti Claudio |
| Telephone Number | 4045647009 |
NPI Number Detail
| NPI Number | 1063627610 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1046 Ridge Ave Sw |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303151640 |
| Phone Number | 4046881350 |
| Fax Number | 4046882962 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00021502A | GA | -- |
Post Comment/ Review Below
What is the Southside Medical Center, Inc.'s 1063627610?
The Southside Medical Center, Inc.'s NPI (National Provider Identifier) Number is 1063627610. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Southside Medical Center, Inc. is physically located?
The Southside Medical Center, Inc. is physically situated at the following address: 1046 Ridge Ave Sw, Atlanta, GA, 303151640.
What is the Southside Medical Center, Inc.'s specialty and taxonomy code?
The Southside Medical Center, Inc.'s specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.
When did Southside Medical Center, Inc. receive its 1063627610 assignment?
The Southside Medical Center, Inc. was assigned its 1063627610 on 2007-05-14, which is the date when this unique identifier was issued to the organization.
When was the Southside Medical Center, Inc.'s information last updated?
The Southside Medical Center, Inc.'s information was last updated on 2020-08-22.