# NSH CANCER INSTITUE PROFESSIONAL SERVICES A, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlanta Cancer Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619392487
- **Authorized official:** JORGE HERNANDEZ CCO (VP OF ADMIN SERVICES)
- **Authorized official phone:** (404) 851-6378

## Contact information

- **Practice address:** 5670 PEACHTREE DUNWOODY RD, SUITE 1100, ATLANTA, GA 30342-1699
- **Practice address phone:** (404) 851-2300
- **Mailing address:** 1100 JOHNSON FERRY RD, CENTER POINTE 1, SUITE 500, ATLANTA, GA 30342-1709
- **Mailing address phone:** (404) 419-1140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 168354 | GU | Yes |

## Other

- **Enumeration date:** 03/03/2014
- **Last updated:** 03/03/2014