CUSTOM HEALTHCARE LLC

BISHOP, GA
NPI1316268105
Entity TypeOrganization
Authorized ContactTROY ALLEN HEIDESCH
CEO/ Provider
706-207-1039
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2010-06-16
Last Update Date2010-06-16
Business Address
CUSTOM HEALTHCARE LLC
1540 GOBER RD
BISHOP, GA 30621-1685
Phone number: 706-207-1039
Mailing Address
CUSTOM HEALTHCARE LLC
1540 GOBER RD
BISHOP, GA 30621-1685
Phone number: 706-207-1039
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