Nsh Cancer Institute Professional Services G LLC

NPI #1841541919 in Canton, Georgia

Provider Information

NPI Number
1841541919
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
Dec 28, 2012

Practice Location

Address
228 RIVERSTONE DR
City
Canton
State
Georgia
ZIP Code
30114-5256
Phone
(770) 479-1870

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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