Organization
TOOMBS COUNTY BOARD OF HEALTH
Active
Other names
Just Teens Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STARLA SUTTON (PSO)
(912) 338-5263
Entity
Organization
Contact information
Practice address
714 NW BROAD STREET, LYONS, GA 30436-0008
(912) 526-8108
(912) 526-6504
Mailing address
PO BOX 308, LYONS, GA 30436-0308
(912) 526-8108
(912) 526-6504
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052027T
—
GA
05
—
000808409B
—
GA
05
—
000808409C
—
GA
05
—
000808409E
—
GA
Enumeration date
07/07/2006
Last updated
06/26/2008
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