Organization
NSH CANCER INSTITUTE PROFESSIONAL SERVICES A,LLC
Active
Parent organization
NORTHSIDE HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHSIDE HOSPITAL
Authorized official
JORGE HERNANDEZ (VP OF ADMIN SERVICES AND CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD NE STE 1100, ATLANTA, GA 30342-4795
(404) 851-6378
Mailing address
1100 JOHNSON FERRY RD NE, SUITE 500, ATLANTA, GA 30342-1709
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/28/2012
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