| Organization Name: | POLK COUNTY BOARD OF HEALTH |
| NPI Number: | 1710087960 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | C. WADE SELLERS (DISTRICT HEALTH DIRECTOR) |
| Mailing Address: | 125 E Ware St Cedartown |
| State: | GA US |
| Postal Code: | 301253051 |
| Phone Number: | 7707492270 |
| Fax Number: | 7707492298 |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |