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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