Healthcare Provider Details

I. General information

NPI: 1528389293
Provider Name (Legal Business Name): GHR ACCESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2010
Last Update Date: 12/06/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5022 B U BOWMAN DR STE 200
BUFORD GA
30518-6346
US

IV. Provider business mailing address

5022 B U BOWMAN DR STE 200
BUFORD GA
30518-6346
US

V. Phone/Fax

Practice location:
  • Phone: 888-807-2677
  • Fax:
Mailing address:
  • Phone: 888-807-2677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: CRAIG PEARCE
Title or Position: PRESIDENT
Credential:
Phone: 770-906-0505