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Organization
NSH CANCER INSTITUTE PROFESSIONAL SERVICES G, LLC
Active
Organization
NSH CANCER INSTITUTE PROFESSIONAL SERVICES G, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE HERNANDEZ (VP OF ADMIN SERVICES AND CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
1100 JOHNSON FERRY RD NE, SUITE 600, ATLANTA, GA 30342-1709
(404) 851-6378
Mailing address
308 COLISEUM DR, SUITE 150, MACON, GA 31217-3865
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
09/28/2012
Last updated
10/12/2012
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