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Organization

CRISP COUNTY BOARD OF HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEVERLEY TOWNSEND M.D. (HEALTH DIRECTOR)
(706) 321-6108
Entity
Organization

Contact information

Practice address
111 E 24TH AVE, CORDELE, GA 31015-3834
(833) 337-1749
(706) 321-6126
Mailing address
111 E 24TH AVE, CORDELE, GA 31015-3834
(833) 337-1749
(706) 321-6126

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000453164O
GA
05
000457729F
GA
05
00052082D
GA
05
00058726E
GA
05
00647226A
GA
Enumeration date
06/17/2006
Last updated
09/29/2025
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