Organization Name: | POLK COUNTY BOARD OF HEALTH |
NPI Number: | 1831288679 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | C. WADE SELLERS (DISTRICT HEALTH DIRECTOR) |
Mailing Address: | 320 Water St Rockmart |
State: | GA US |
Postal Code: | 301532669 |
Phone Number: | 7706841385 |
Fax Number: | 7706848231 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 025271 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |