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HM4799 HEMOPHILIA OF GEORGIA, INC. (Active)
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Main Details
Name
HEMOPHILIA OF GEORGIA, INC.
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM4799
Grant Number
H30MC24046
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
7/16/2004
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Hemophilia of Georgia, Inc.
Robert J Maloney, Chief Executive Officer
(770) 518-8272
Primary Contact
Hemophilia of Georgia
Chandni Patel, Accreditation and 340B Specialist
(470) 621-0529
Addresses
Street Address
8607 Roberts Drive
Suite 150
Sandy Springs, GA 30350
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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NEW ZIP, E-MAIL
12/01/1992
April 2025
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