Organization
COBB COUNTY BOARD OF HEALTH
Active
Other names
South Cobb Public Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER CARLSON CPA (DIRECTOR OF ADMINISTRATION)
(770) 514-2342
Entity
Organization
Contact information
Practice address
875 SIX FLAGS DR, AUSTELL, GA 30168-7064
(678) 385-1360
(678) 385-1376
Mailing address
1650 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4010
(770) 514-2361
(770) 514-2811
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000058616F
—
GA
05
—
000456431L
—
GA
05
—
617672014A
—
GA
Enumeration date
03/16/2006
Last updated
07/09/2010
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