Organization Name: | WARE COUNTY BOARD OF HEALTH |
NPI Number: | 1134158355 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STARLA SUTTON (PSO) |
Mailing Address: | 604 Riverside Ave Waycross |
State: | GA US |
Postal Code: | 315015323 |
Phone Number: | 9122831875 |
Fax Number: | 9122830894 |
NPI Enumeration Date: | 07/01/2006 |
NPI Last Update Date: | 05/01/2012 |
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: |