Organization Name: | BULLOCH COUNTY BOARD OF HEALTH |
NPI Number: | 1043243876 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STARLA SUTTON (PSO) |
Mailing Address: | 3 W Altman St Statesboro |
State: | GA US |
Postal Code: | 304585212 |
Phone Number: | 9127642402 |
Fax Number: | 9127645561 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 04/19/2012 |
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: |