Organization
PIERCE 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
715 WARE ST, BLACKSHEAR, GA 31516-1723
(912) 449-2032
(912) 449-0409
Mailing address
715 WARE ST, BLACKSHEAR, GA 31516-1723
(912) 449-2032
(912) 449-0409
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052027M
—
GA
05
—
000331163B
—
GA
05
—
000442967O
—
GA
05
—
000453098N
—
GA
05
—
000457784N
—
GA
Enumeration date
07/01/2006
Last updated
08/09/2011
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