Organization Name: | GWINNETT COUNTY HEALTH DEPARTMENT |
NPI Number: | 1912078627 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LLOYD M HOFER (MEDICAL DIRECTOR) |
Mailing Address: | 5030 Georgia Belle Ct Norcross |
State: | GA US |
Postal Code: | 300932667 |
Phone Number: | 7706385700 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 06/16/2008 |
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: |