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Organization

BACON COUNTY BOARD OF HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STARLA SUTTON (PSO)
(912) 427-2042
Entity
Organization

Contact information

Practice address
101 N WAYNE ST, ALMA, GA 31510-2540
(912) 632-4712
(912) 632-7834
Mailing address
PO BOX 116, ALMA, GA 31510-0116
(912) 632-4712
(912) 632-7834

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000052027D
GA
05
000442967D
GA
05
000453098C
GA
05
000457784C
GA
05
000584702A
GA
Enumeration date
06/19/2006
Last updated
10/12/2011
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