Organization
GEORGIA MOUNTAINS HEALTH SERVICES, INC.
Active
Parent organization
GEORGIA MOUNTAINS HEALTH SERVICES, INC.
Other names
Super Friendly Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA MOUNTAINS HEALTH SERVICES, INC.
Authorized official
ANDREW STEWART (CEO)
(706) 946-5600
Entity
Organization
Contact information
Practice address
80 CINEMA DRIVE, ELLIJAY, GA 30540-2592
(706) 276-2828
(706) 276-2826
Mailing address
165 BLUE RIDGE OVERLOOK, BLUE RIDGE, GA 30513-4431
(706) 946-5607
(706) 374-7628
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003200832A
—
GA
Enumeration date
09/12/2017
Last updated
05/04/2026
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