Nsh Cancer Institute Professional Services G LLC

NPI #1629329792 in Blue Ridge, Georgia

Provider Information

NPI Number
1629329792
Entity Type
Organization
Organization Name
Nsh Cancer Institute Professional Services G LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 28, 2012
Last Updated
Dec 28, 2012

Practice Location

Address
101 RIVERSTONE VIS
Address 2
SUITE 102
State
Georgia
ZIP Code
30513-6648
Phone
(706) 258-4140

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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