Organization
BULLOCH 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
1 W ALTMAN ST, STATESBORO, GA 30458-5212
(912) 764-3800
(912) 871-1901
Mailing address
PO BOX 2009, STATESBORO, GA 30459-2009
(912) 764-3800
(912) 871-1901
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052027F
—
GA
05
—
000442967F
—
GA
05
—
000453098F
—
GA
05
—
000457784F
—
GA
05
—
000777752A
—
GA
Enumeration date
06/30/2006
Last updated
06/06/2012
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