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Organization

COFFEE COUNTY BOARD OF HEALTH

Active
Parent organization
COFFEE COUNTY BOARD OF HEALTH
Other names
Coffee Wellness Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
COFFEE COUNTY BOARD OF HEALTH
Authorized official
STARLA SUTTON (PSO)
(912) 338-5263
Entity
Organization

Contact information

Practice address
1003 SHIRLEY AVE, DOUGLAS, GA 31533-2123
(912) 389-4586
(913) 389-4590
Mailing address
1003 SHIRLEY AVE, DOUGLAS, GA 31533-2123
(912) 389-4586
(913) 389-4590

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000808387A
GA
05
000955171A
GA
Enumeration date
06/30/2006
Last updated
12/11/2012
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