Organization
DEKALB COUNTY BOARD OF HEALTH
Active
Parent organization
DEKALB COUNTY BOARD OF HEALTH
Other names
East Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEKALB COUNTY BOARD OF HEALTH
Authorized official
SANDRA E FORD MD (DISTRICT DIRECTOR/CEO)
(404) 294-3787
Entity
Organization
Contact information
Practice address
2277 STONE MOUNTAIN LITHONIA RD, LITHONIA, GA 30058-5252
(770) 484-2600
(770) 484-0155
Mailing address
445 WINN WAY, PO BOX 987, DECATUR, GA 30030-1707
(404) 294-3701
(404) 508-7862
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
GA
251K00000X
Public Health or Welfare Agency
—
GA
251K00000X
Public Health or Welfare Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
GA
261QA0006X
Ambulatory Fertility Facility
—
GA
261QF0400X
Federally Qualified Health Center (FQHC)
—
GA
Other
Enumeration date
09/16/2006
Last updated
10/23/2007
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