Nsh Cancer Institute Professional Services G LLC

NPI #1003167172 in Hiram, Georgia

Provider Information

NPI Number
1003167172
Entity Type
Organization
Organization Name
Nsh Cancer Institute Professional Services G LLC
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHSIDE HOSPITAL, INC.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 28, 2012
Last Updated
May 12, 2014

Practice Location

Address
159 ENTERPRISE PATH
Address 2
SUITE 503
City
Hiram
State
Georgia
ZIP Code
30141-7600
Phone
(770) 443-6019

Authorized Official

Name
JORGE J HERNANDEZ
Title
VP OF ADMIN SERVICES AND CCO
Phone
(404) 851-6378

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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