Southside Master Llc

Specialty details in registry · Atlanta, GA

Call (470) 377-4054 Directions

At a glance

755 Mount Vernon Hwy, Atlanta, GA 30328-4292

NPPES record updated Nov 19, 2019. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

755 Mount Vernon Hwy Suite 450
Atlanta, GA 30328-4292
Professional details: NPI, taxonomy & registry record
NPI1063077881
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
3336C0003X
Enumeration date
May 7, 2019
Record updated
Nov 19, 2019
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

3336C0003X · Primary

Specialty details in registry

3336S0011X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

755 Mount Vernon Hwy
Suite 450
Atlanta, GA 30328-4292
Phone
(470) 377-4054
Fax
(470) 377-4055
Mailing address
6330 WEST LOOP SOUTH
SUITE 700, 7TH FLOOR
BELLAIRE, TX 774012928
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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