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Organization

FAYETTE COUNTY BOARD OF HEALTH

Active
Other names
Fayette County Health Department
Organization subpart
No

Provider details

NPI number
Authorized official
KYLIE MYHAND (BILLING SUPERVISOR)
(706) 298-7709
Entity
Organization

Contact information

Practice address
245 BOOKER AVE STE A, FAYETTEVILLE, GA 30215-2307
(770) 305-5416
(770) 305-5422
Mailing address
245 BOOKER AVE STE A, FAYETTEVILLE, GA 30215-2307
(770) 305-5416
(770) 305-5422

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
261QP0905X
State or Local Public Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000052093E
GA
05
000456453E
GA
05
000456453W
GA
05
000784352A
GA
05
000784352C
GA
Enumeration date
09/15/2005
Last updated
12/01/2025
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