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Organization
GEORGIA HEALTH CLINICS, LLC
Active
Organization
GEORGIA HEALTH CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG PRIDGEN (AUTHORIZED OFFICIAL)
(678) 203-1323
Entity
Organization
Contact information
Practice address
11040 CRABAPPLE RD STE A, ROSWELL, GA 30075-2457
(678) 522-6315
Mailing address
11040 CRABAPPLE RD STE A, ROSWELL, GA 30075-2457
(678) 522-6315
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
05/10/2021
Last updated
08/11/2021
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