NPI age
15 years
Enumerated 2010-06-16
● Active Type 2 · Organization
Custom Healthcare Llc
Custom Healthcare Llc is 1 of 318 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Heidesch
Ceo/ Provider
Last NPPES update
2010-06-16
Source: monthly bulk 2026-05
How this organization compares
Across 318 active clinic/center providers in Georgia.
NPI age
15 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-06Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1540 Gober Rd
Bishop, GA 306211685
Mailing address
1540 Gober Rd
Bishop, GA 306211685
Authorized official
Troy Allen Heidesch, DNP
Ceo/ Provider
📞 7062071039
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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