Nsh Cancer Institute Professional Services G LLC

NPI #1336499276 in Jasper, Georgia

Provider Information

NPI Number
1336499276
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 19, 2012
Last Updated
Jan 16, 2013

Practice Location

Address
134 MOUNTAINSIDE VILLAGE PKWY
Address 2
BLDG. 400, SUITE 100
City
Jasper
State
Georgia
ZIP Code
30143-8694
Phone
(706) 253-3100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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