Organization Name: | CRISP COUNTY BOARD OF HEALTH |
NPI Number: | 1427093285 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ZSOLT KOPPANYI (HEALTH DIRECTOR) |
Mailing Address: | 111 E 24th Ave Cordele |
State: | GA US |
Postal Code: | 310153834 |
Phone Number: | 2292762680 |
Fax Number: | 7063216126 |
NPI Enumeration Date: | 06/17/2006 |
NPI Last Update Date: | 11/14/2007 |
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: |