# LAURENS COUNTY BOARD OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAURENS COUNTY BOARD OF HEALTH
- **Other names:** Ryan White Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841505641
- **Legal business name:** LAURENS COUNTY BOARD OF HEALTH
- **Authorized official:** MICHELLE MULLIS (ADMINISTRATOR)
- **Authorized official phone:** (478) 275-6563

## Contact information

- **Practice address:** 103 MERCER DR STE B, DUBLIN, GA 31021-4257
- **Practice address phone:** (478) 274-7949
- **Practice address fax:** (478) 274-7948
- **Mailing address:** 105 E JACKSON ST, DUBLIN, GA 31021-6113
- **Mailing address phone:** (478) 275-6563
- **Mailing address fax:** (478) 275-6575

## Taxonomy

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

## Other

- **Enumeration date:** 08/17/2010
- **Last updated:** 11/23/2022
