Organization
WAYNE COUNTY BOARD OF HEALTH
Active
Other names
Wayne Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
STARLA SUTTON (PSO)
(912) 338-5263
Entity
Organization
Contact information
Practice address
162 MEMORIAL DR, JESUP, GA 31545-0101
(912) 588-2511
(912) 588-2518
Mailing address
PO BOX 997, JESUP, GA 31598-0997
(912) 588-2511
(912) 558-2518
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000808376B
—
GA
05
—
000808736A
—
GA
Enumeration date
07/01/2006
Last updated
06/26/2008
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