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CH04743F GEORGIA HIGHLANDS MEDICAL SERVICE INC (Active)
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Main Details
Name
GEORGIA HIGHLANDS MEDICAL SERVICE INC
Subdivision Name
GHMS Canton Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031232
340B ID
CH04743F
Grant Number
H80CS00470
Additional Details
Current Program Status
Active
Registration Date
10/5/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/6/2020
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Georgia Highlands Medical Services
Todd Shifflet, CEO
(770) 887-1668 Ext: 1102
Primary Contact
Georgia Highlands Medical Services, Inc
Jessica Pulliam, Pharmacist
(770) 887-1670
Addresses
Street Address
210 Oakside Ln
Canton, GA 30114-6417
Billing Address
Georgia Highlands Medical Services, inc.
475 Tribble Gap Rd
Cumming, GA 30040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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