Organization
CLAY COUNTY BOARD OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZSOLT KOPPANYI (DISTRICT HEALTH DIRECTORY)
(706) 321-6300
Entity
Organization
Contact information
Practice address
147 WILSON STREET, FT. GAINES, GA 39851
(229) 768-2355
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 321-6300
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00052082C
—
GA
05
—
000676552A
—
GA
05
—
000798091A
—
GA
05
—
00457729G
—
GA
Enumeration date
04/20/2006
Last updated
06/30/2009
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