| Organization Name: | PEACH COUNTY BOARD OF HEALTH |
| NPI Number: | 1366450934 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BERTHA ASHLEY (NURSE MANAGER) |
| Mailing Address: | 406 E Church St Fort Valley |
| State: | GA US |
| Postal Code: | 310303097 |
| Phone Number: | 4788256939 |
| Fax Number: | 4788256792 |
| NPI Enumeration Date: | 08/03/2006 |
| NPI Last Update Date: | 11/04/2009 |
| 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: | |