Nsh Cancer Institute Professional Services a LLC

NPI #1306197462 in Alpharetta, Georgia

Provider Information

NPI Number
1306197462
Entity Type
Organization
Organization Name
Nsh Cancer Institute Professional Services a 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
Jan 24, 2014

Practice Location

Address
3400 OLD MILTON PKWY # C
Address 2
SUITE 400
State
Georgia
ZIP Code
30005-3707
Phone
(770) 740-9664

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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