Highland Rivers Cherokee Office | |
191 Lamar Haley Dr Canton GA 30114-8019 | |
(770) 704-1600 | |
(770) 704-1610 |
Full Name | Highland Rivers Cherokee Office |
---|---|
Speciality | Community/behavioral Health |
Location | 191 Lamar Haley Dr, Canton, Georgia |
Authorized Official Name and Position | Jason Bearden (CEO) |
Authorized Official Contact | 7062705000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Highland Rivers Cherokee Office 1401 Applewood Drive Suite 1 Dalton GA 30720-2699 Ph: (706) 270-5002 | Highland Rivers Cherokee Office 191 Lamar Haley Dr Canton GA 30114-8019 Ph: (770) 704-1600 |
NPI Number | 1043373467 |
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Provider Enumeration Date | 12/18/2006 |
Last Update Date | 09/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043373467 | NPI | - | NPPES |
000601807B | Medicaid | GA | |
1447256243 | Other | GA | ORGANIZATION MASTER NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Georgia) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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