Organization
PALMETTO HEALTH COUNCIL INC
Active
Other names
YourTown Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA BROWN DMD (CHIEF EXECUTIVE OFFICER)
(404) 929-8824
Entity
Organization
Contact information
Practice address
48 MAIN ST, SUITE 3A, SENOIA, GA 30276-1895
(678) 723-0400
(770) 599-9779
Mailing address
643 MAIN ST, PALMETTO, GA 30268-1138
(404) 929-8824
(404) 929-9769
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
H800040
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003162752A
—
GA
01
—
111009
MEDICARE PIN
GA
Enumeration date
05/08/2015
Last updated
05/14/2025
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