Organization
NSH CANCER INSTITUE PROFESSIONAL SERVICES A, LLC
Active
Other names
Atlanta Cancer Care
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE HERNANDEZ CCO (VP OF ADMIN SERVICES)
(404) 851-6378
Entity
Organization
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD, SUITE 1100, ATLANTA, GA 30342-1699
(404) 851-2300
Mailing address
1100 JOHNSON FERRY RD, CENTER POINTE 1, SUITE 500, ATLANTA, GA 30342-1709
(404) 419-1140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
168354
GU
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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