Organization Name: | MILLER COUNTY BOARD OF HEALTH |
NPI Number: | 1598756652 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACQUELINE H GRANT (DISTRICT HEALTH DIRECTOR) |
Mailing Address: | 250 W Pine St Colquitt |
State: | GA US |
Postal Code: | 398373532 |
Phone Number: | 2297583344 |
Fax Number: | 2297585526 |
NPI Enumeration Date: | 10/28/2005 |
NPI Last Update Date: | 07/09/2007 |
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: |