Organization
GRADY COUNTY BOARD OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D RUIS MD (DISTRICT HEALTH DIRECTOR)
(229) 352-4275
Entity
Organization
Contact information
Practice address
1030 FOURTH STREET, SE, CAIRO, GA 31728
(229) 377-2992
(229) 377-4544
Mailing address
1030 FOURTH STREET, SE, CAIRO, GA 31728
(229) 377-2992
(229) 377-4544
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000456475AB
—
GA
05
—
00052049H
—
GA
05
—
00452933G
—
GA
05
—
00452933P
—
GA
05
—
00456475G
—
GA
Enumeration date
10/31/2005
Last updated
10/23/2017
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