| Organization Name: | DEKALB COUNTY BOARD OF HEALTH |
| NPI Number: | 1053417105 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA E FORD (DISTRICT DIRECTOR/CEO) |
| Mailing Address: | 3807 Clairmont Rd Chamblee |
| State: | GA US |
| Postal Code: | 303414911 |
| Phone Number: | 7704541144 |
| Fax Number: | 7704524468 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 10/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |