Organization
EVANS 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
4 N NEWTON ST, CLAXTON, GA 30417-1756
(912) 739-2088
(912) 739-3975
Mailing address
PO BOX 366, CLAXTON, GA 30417-0366
(912) 739-2088
(912) 739-3975
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052027K
—
GA
05
—
000442967L
—
GA
05
—
000457784L
—
GA
05
—
000777279A
—
GA
Enumeration date
06/30/2006
Last updated
04/27/2011
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