Organization
GEORGIA HIGHLANDS MEDICAL SERVICES, INC
Active
Parent organization
GEORGIA HIGHLANDS MEDICAL SERVICES, INC
Other names
GHMS Canton Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA HIGHLANDS MEDICAL SERVICES, INC
Authorized official
TODD SHIFLETT (CEO)
(770) 887-1668
Entity
Organization
Contact information
Practice address
210 OAKSIDE LN, CANTON, GA 30114-6417
(678) 807-1050
(770) 720-7384
Mailing address
PO BOX 307, CUMMING, GA 30028-0307
(678) 807-1050
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
—
003245090A
—
GA
05
—
300022400A
—
GA
01
—
GRP1700
GROUP MEDICARE
GA
Enumeration date
09/01/2020
Last updated
05/09/2022
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