Organization
BANKS COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID N WESTFALL M.D. (PUBLIC HEALTH DIRECTOR)
(706) 677-2296
Entity
Organization
Contact information
Practice address
667 THOMPSON STREET, HOMER, GA 30547
(706) 677-2296
(706) 677-4042
Mailing address
667 THOMPSON ST, HOMER, GA 30547-3110
(706) 677-2296
(706) 677-4042
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
015524
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00051972B
—
GA
05
—
00058638A
—
GA
05
—
00442945B
—
GA
05
—
00456442N
—
GA
05
—
00479751E
—
GA
01
—
10044114
AMERIGROUP PROVIDER NUMBE
GA
01
—
338783
WELLCARE PROVIDER NUMBER
GA
01
—
39253
AVESIS PROVIDER NUMBER
GA
01
—
9179947
DORAL PROVIDER NUMBER
GA
Enumeration date
10/03/2006
Last updated
08/22/2020
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