# GEORGIA HEALTH CLINICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982288536
- **Authorized official:** GREG PRIDGEN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (678) 203-1323

## Contact information

- **Practice address:** 11040 CRABAPPLE RD STE A, ROSWELL, GA 30075-2457
- **Practice address phone:** (678) 522-6315
- **Mailing address:** 11040 CRABAPPLE RD STE A, ROSWELL, GA 30075-2457
- **Mailing address phone:** (678) 522-6315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 05/10/2021
- **Last updated:** 08/11/2021