Organization
CLINCH 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
285 SWEAT ST, HOMERVILLE, GA 31634-2301
(912) 487-2199
(912) 487-3407
Mailing address
285 SWEAT ST, HOMERVILLE, GA 31634-2301
(912) 487-2199
(912) 487-3407
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052027I
—
GA
05
—
000442967I
—
GA
05
—
000453098I
—
GA
05
—
000457784I
—
GA
05
—
000777576A
—
GA
Enumeration date
06/30/2006
Last updated
08/09/2011
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