Organization · Type 2 NPI

NSH Cancer Institute Professional Services G, LLC

Hematology & Oncology Physician · Atlanta, GA

NPI number 1124379284 Active

Practice location

1100 Johnson Ferry Rd NE, Suite 600
Atlanta, GA 30342-1709

Mailing address

308 Coliseum Dr, Suite 150
Macon, GA 31217-3865

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed
Pharmacy 333600000XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1124379284

NSH Cancer Institute Professional Services G, LLC's National Provider Identifier is 1124379284, issued on Sep 28, 2012. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Atlanta, GA. The record was last updated on Oct 12, 2012.