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Organization

CLAYTON COUNTY HEALTH DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LACRECIA WORTHAM (BILLING SPECIALIST)
(678) 610-7199
Entity
Organization

Contact information

Practice address
1117 BATTLECREEK RD, JONESBORO, GA 30236-2407
(678) 610-7199
(770) 603-4872
Mailing address
1117 BATTLECREEK RD, JONESBORO, GA 30236-2407
(678) 610-7199
(770) 603-4872

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000051928A
GA
05
000058528A
GA
05
000442934A
GA
05
000456409B
GA
Enumeration date
10/04/2006
Last updated
06/29/2023
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