Organization Name: | BLECKLEY COUNTY BOARD OF HEALTH |
NPI Number: | 1699842856 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CANDACE SPICER CHRISTIAN (ADMINISTRATOR) |
Mailing Address: | 152 North Eighth Street Cochran |
State: | GA US |
Postal Code: | 31014 |
Phone Number: | 4789346590 |
Fax Number: | 4789348729 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 10/12/2011 |
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: |