Organization
WARE COUNTY BOARD OF HEALTH
Active
Other names
Daisy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STARLA SUTTON (PSO)
(912) 338-5263
Entity
Organization
Contact information
Practice address
1720 OLD REYNOLDS ST, WAYCROSS, GA 31501-1036
(912) 285-6301
(912) 287-6713
Mailing address
1720 OLD REYNOLDS ST, WAYCROSS, GA 31501-1036
(912) 285-6301
(912) 287-6713
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052027Y
—
GA
05
—
000442967K
—
GA
05
—
000453428A
—
GA
05
—
000457806A
—
GA
05
—
000777763A
—
GA
Enumeration date
06/30/2006
Last updated
06/26/2008
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