Organization
SOUTHWEST HEALTH DISTRICT 8-2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE H GRANT M.D., M.P.H., M.P.A. (DISTRICT HEALTH DIRECTOR)
(229) 430-4127
Entity
Organization
Contact information
Practice address
1109 N JACKSON ST, ALBANY, GA 31701-2022
(229) 430-4127
(229) 430-5143
Mailing address
1109 N JACKSON ST, ALBANY, GA 31701-2022
(229) 430-4127
(229) 430-5143
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00058715A
—
GA
05
—
00548292A
—
GA
05
—
00959329A
—
GA
Enumeration date
10/31/2005
Last updated
08/22/2020
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