Organization
LONG COUNTY BOARD OF HEALTH
Active
Other names
Long County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
STACY A COOPER (DISTRICT BILLING DEPT COORDINATOR)
(912) 262-2347
Entity
Organization
Contact information
Practice address
584 N MACON ST, LUDOWICI, GA 31316-5958
(912) 545-2107
(912) 545-2112
Mailing address
150 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0540
(912) 262-2347
(912) 262-3036
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000051818F
—
GA
05
—
000051818H
—
GA
05
—
000457938E
—
GA
05
—
000551878A
—
GA
01
—
FLU147
MEDICARE ID
GA
Enumeration date
11/28/2005
Last updated
01/07/2015
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