# COFFEE COUNTY BOARD OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COFFEE COUNTY BOARD OF HEALTH
- **Other names:** Coffee Wellness Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316976699
- **Legal business name:** COFFEE COUNTY BOARD OF HEALTH
- **Authorized official:** STARLA SUTTON (PSO)
- **Authorized official phone:** (912) 338-5263

## Contact information

- **Practice address:** 1003 SHIRLEY AVE, DOUGLAS, GA 31533-2123
- **Practice address phone:** (912) 389-4586
- **Practice address fax:** (913) 389-4590
- **Mailing address:** 1003 SHIRLEY AVE, DOUGLAS, GA 31533-2123
- **Mailing address phone:** (912) 389-4586
- **Mailing address fax:** (913) 389-4590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 12/11/2012