Organization Name: | COUNTY OF MONTGOMERY HEALTH DEPARTMENT |
NPI Number: | 1255409215 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CANDACE SPICER CHRISTIAN (ADMINISTRATOR) |
Mailing Address: | 218 West Broad Street Mt. Vernon |
State: | GA US |
Postal Code: | 30445 |
Phone Number: | 9125834602 |
Fax Number: | 9125834085 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 11/10/2011 |
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: |