Organization
BULLOCH COUNTY BOARD OF HEALTH
Active
Other names
Bulloch Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
STARLA SUTTON (PSO)
91233885263
Entity
Organization
Contact information
Practice address
3 W ALTMAN ST, STATESBORO, GA 30458-5212
(912) 764-2402
(912) 764-5561
Mailing address
3 W ALTMAN ST, STATESBORO, GA 30458-5212
(912) 764-2402
(912) 764-5561
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000808398A
—
GA
05
—
000808398B
—
GA
Enumeration date
07/07/2006
Last updated
04/19/2012
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