Organization Name: | RANDOLPH COUNTY BOARD OF HEALTH |
NPI Number: | 1003843079 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ZSOLT KOPPANYI (HEALTH DIRECTOR) |
Mailing Address: | 410 N. Webster St. Cuthbert |
State: | GA US |
Postal Code: | 398409704 |
Phone Number: | 2297322414 |
Fax Number: | 2297325007 |
NPI Enumeration Date: | 06/27/2006 |
NPI Last Update Date: | 11/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |