Organization
WARE COUNTY BOARD OF HEALTH
Active
Other names
Ware County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
STARLA SUTTON (PSO)
(912) 427-2042
Entity
Organization
Contact information
Practice address
604 RIVERSIDE AVE, WAYCROSS, GA 31501-5323
(912) 283-1875
(912) 283-0894
Mailing address
604 RIVERSIDE AVE, WAYCROSS, GA 31501-5323
(912) 283-1875
(912) 283-0894
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052027P
—
GA
05
—
000331196B
—
GA
05
—
000442967V
—
GA
05
—
000453098R
—
GA
05
—
000457784R
—
GA
01
—
600002587
MEDICARE RAILROAD BILLING #
GA
Enumeration date
07/01/2006
Last updated
05/01/2012
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