Organization
GEORGIA HIGHLANDS MEDICAL SERVICES, INC
Active
Other names
Highlands Medical Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD SHIFFLET (CEO)
(770) 887-1668
Entity
Organization
Contact information
Practice address
475 TRIBBLE GAP RD, CUMMING, GA 30040-2478
(770) 887-1668
(770) 781-9937
Mailing address
PO BOX 307, CUMMING, GA 30028-0307
(770) 887-1668
(770) 781-9937
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003183795A
—
GA
05
—
300022400A
—
GA
01
—
GRP1700
MEDICARE PIN
GA
Enumeration date
10/13/2016
Last updated
05/09/2022
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