# DOUGLAS COUNTY BOARD OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Douglas County Public Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326017062
- **Authorized official:** JAMES VIRGIL MOON CPA (DIRECTOR OF ADMIN)
- **Authorized official phone:** (770) 514-2300

## Contact information

- **Practice address:** 6770 SELMAN DRIVE, DOUGLASVILLE, GA 30134
- **Practice address phone:** (770) 514-2300
- **Practice address fax:** (770) 514-2811
- **Mailing address:** 6770 SELMAN DRIVE, DOUGLASVILLE, GA 30134
- **Mailing address phone:** (770) 514-2300
- **Mailing address fax:** (770) 514-2811

## Taxonomy

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

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 03/14/2014