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Organization

NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC

Active
Other names
NSH CIPS G
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
308 COLISEUM DR, SUITE 150, MACON, GA 31217-3865
(478) 741-8599
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
09/18/2012
Last updated
12/28/2012
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