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Get Ga Pshp Facility And Ancillary Credentialing Application 2001-2024

His COMPLETED application: Copy of Georgia State License Copy of Quality Improvement Plan Copy of other applicable State/Federal Licensures (ie. CLIA, Bureau of Radiation Control, Pharmacy) Copy of accreditation/certification (by a governmental accrediting body, ie. CMS, JCAHO) Copy of Current General Liability coverage (document showing the amounts and dates of coverage) Copy of Medicare/Medicaid Certification (if not certified, provide proof of participation) Copy of Site.

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