Organization Name: | JEFF DAVIS COUNTY BOARD OF HEALTH |
NPI Number: | 1184653479 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STARLA SUTTON (PSO) |
Mailing Address: | 30 E Sycamore St Hazlehurst |
State: | GA US |
Postal Code: | 315396162 |
Phone Number: | 9123752425 |
Fax Number: | 9123753845 |
NPI Enumeration Date: | 07/01/2006 |
NPI Last Update Date: | 08/09/2011 |
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: |