Organization Name: | WILCOX COUNTY HEALTH DEPARTMENT |
NPI Number: | 1548338932 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CANDACE SPICER CHRISTIAN (ADMINISTRATOR) |
Mailing Address: | 1001 Second Street Rochelle |
State: | GA US |
Postal Code: | 31079 |
Phone Number: | 2293652310 |
Fax Number: | 2293657825 |
NPI Enumeration Date: | 12/01/2006 |
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: |