Organization
GLASCOCK COUNTY BOARD OF HEALTH
Active
Other names
GLASCOCK COUNTY HEALTH DEARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN DONOHUE MD (DISTRICH HEALTH DIRECTOR)
(706) 825-6914
Entity
Organization
Contact information
Practice address
658 W MAIN ST, GIBSON, GA 30810-4013
(706) 598-2061
(706) 598-2442
Mailing address
1916 N LEG RD, AUGUSTA, GA 30909-4402
(706) 667-4265
(706) 667-4301
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000051851E
—
GA
05
—
000456552H
—
GA
05
—
000573361A
—
GA
05
—
000676563D
—
GA
01
—
P00094913
RAILROAD MEDICARE
GA
Enumeration date
05/12/2006
Last updated
03/05/2024
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