| Organization Name: | COUNTY OF JASPER HEALTH DEPARTMENT |
| NPI Number: | 1689684862 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROY MOORE (PROGRAM MANAGER) |
| Mailing Address: | 336 E Greene Street Monticello |
| State: | GA US |
| Postal Code: | 310641012 |
| Phone Number: | 7064686850 |
| Fax Number: | 7064681422 |
| NPI Enumeration Date: | 08/09/2006 |
| NPI Last Update Date: | 10/07/2008 |
| 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: | |