Organization
BRANTLEY 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
173 FLORIDA AVENUE, NAHUNTA, GA 31553-6053
(912) 462-6165
(912) 462-7655
Mailing address
PO BOX 603, NAHUNTA, GA 31553-0603
(912) 462-6165
(912) 462-7655
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052027E
—
GA
05
—
000453098D
—
GA
05
—
000457784D
—
GA
05
—
000777774A
—
GA
Enumeration date
06/28/2006
Last updated
12/06/2012
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