Organization
GEORGIA MOBILE HEALTHCARE SERVICES
Active
Other names
GMHS
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHA CHANDLER (OWNER)
(770) 453-2045
Entity
Organization
Contact information
Practice address
153 HILL LN, ELLENWOOD, GA 30294-2805
(770) 453-2045
(770) 264-4811
Mailing address
153 HILL LN, ELLENWOOD, GA 30294-2805
(770) 453-2045
(770) 264-4811
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
246RP1900X
Phlebotomy Technician
—
—
253Z00000X
In Home Supportive Care Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
305S00000X
Point of Service
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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