Organization
JEFF DAVIS COUNTY BOARD OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STARLA SUTTON (PSO)
(912) 427-2042
Entity
Organization
Contact information
Practice address
30 E SYCAMORE ST, HAZLEHURST, GA 31539-6162
(912) 375-2425
(912) 375-3845
Mailing address
PO BOX 603, HAZLEHURST, GA 31539-0603
(912) 375-2425
(912) 375-3845
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052027L
—
GA
05
—
000442967M
—
GA
05
—
000453098M
—
GA
05
—
000457784M
—
GA
05
—
000777609A
—
GA
Enumeration date
07/01/2006
Last updated
08/09/2011
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