Organization
CHATTAHOOCHEE BOARD OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZSOLT KOPPANYI M.D. (HEALTH DIRECTOR)
(706) 321-6300
Entity
Organization
Contact information
Practice address
213 MCNAUGHTON ST, CUSSETA, GA 31805-3013
(706) 989-3663
(706) 989-1243
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 321-6300
(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
—
000453164R
—
GA
05
—
000457729J
—
GA
05
—
00052082B
—
GA
05
—
00647149A
—
GA
01
—
319144
WELLCARE OF GA
GA
Enumeration date
04/17/2006
Last updated
01/28/2010
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