# HEALTH SERVICES OF CENTRAL GEORGIA, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AHN Clayton State Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164271110
- **Authorized official:** PHILIP WHEELER (CFO)
- **Authorized official phone:** (706) 509-3012

## Contact information

- **Practice address:** 5809 NORTHLAKE DR BLDG 1000, MORROW, GA 30260-1120
- **Practice address phone:** (678) 466-4940
- **Practice address fax:** (678) 466-4944
- **Mailing address:** 5809 NORTHLAKE DR BLDG 1000, MORROW, GA 30260-1150
- **Mailing address phone:** (678) 466-4940
- **Mailing address fax:** (678) 466-4944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2024
- **Last updated:** 08/12/2026