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 120, MACON, GA 31217-3865
(478) 745-4443
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1071
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
10/16/2012
Last updated
12/28/2012
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