Organization
LAURENS COUNTY BAORD OF HEALTH
Active
Other names
Childrens Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE WILKES EVANS (ADMINISTRATOR)
(478) 275-6545
Entity
Organization
Contact information
Practice address
2505 BELLEVUE ROAD, DUBLIN, GA 31021
(478) 275-6545
(478) 275-5117
Mailing address
2505 BELLEVUE ROAD, DUBLIN, GA 31021
(478) 275-6545
(478) 275-5117
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000611553B
—
GA
Enumeration date
03/15/2007
Last updated
07/16/2008
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