Nsh Cancer Institute Professional Services G LLC

NPI #1770833550 in Lithonia, Georgia

Provider Information

NPI Number
1770833550
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
May 12, 2014

Practice Location

Address
5700 HILLANDALE DR
Address 2
BLDG. 200
State
Georgia
ZIP Code
30058-4103
Phone
(770) 981-5431

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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