Organization
NSH CANCER INSTITUTE PROFESSIONAL SERVICES A LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE J HERNANDEZ (VP OF ADMIN SERVICES AND CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
7813 SPIVEY STATION BLVD, SUITE 210, JONESBORO, GA 30236-2900
(770) 507-0070
Mailing address
1100 JOHNSON FERRY RD NE, CENTER POINT I, SUITE 510, ATLANTA, GA 30342-1709
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/27/2012
Last updated
01/24/2014
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