Organization
SOUTH HEALTH DISTRICT
Active
Other names
Lanier County Board of Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLIE PRIDGEN (DISTRICT ADMINISTRATOR)
(229) 333-5290
Entity
Organization
Contact information
Practice address
114 SOUTH OAK STREET, LAKELAND, GA 31635-2103
(229) 482-3294
(229) 482-2006
Mailing address
PO BOX 5147, VALDOSTA, GA 31603-5147
(229) 333-5290
(229) 333-7822
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052038H
—
GA
05
—
000452559E
—
GA
05
—
000457762I
—
GA
01
—
338796
WELLCARE
GA
Enumeration date
12/14/2006
Last updated
06/06/2025
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