Organization Name: | CARROLL COUNTY BOARD OF HEALTH |
NPI Number: | 1245300409 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNEIL F CHARITY (ADMINISTRATOR) |
Mailing Address: | 201 Cleghorn St Villa Rica |
State: | GA US |
Postal Code: | 301802113 |
Phone Number: | 7704590031 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 06/23/2008 |
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: |