Nsh Cancer Institute Professional Services a LLC

NPI #1912257957 in Conyers, Georgia

Provider Information

NPI Number
1912257957
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 18, 2012
Last Updated
Jan 23, 2014

Practice Location

Address
1498 KLONDIKE RD SW
Address 2
SUITE 106
State
Georgia
ZIP Code
30094-5169
Phone
(770) 761-7260

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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