Organization
COBB COUNTY BOARD OF HEALTH
Active
Other names
Marietta Public Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES VIRGIL MOON CPA (DIRECTOR OF ADMIN)
(770) 514-2300
Entity
Organization
Contact information
Practice address
1650 COUNTY SERVICES PARKWAY, MARIETTA, GA 30008
(770) 514-2300
(770) 514-2811
Mailing address
1650 COUNTY SERVICES PARKWAY, MARIETTA, GA 30008
(770) 514-2300
(770) 514-2811
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000051939A
—
GA
05
—
000058616A
—
GA
05
—
000456431C
—
GA
05
—
000456431K
—
GA
05
—
000459269A
—
GA
05
—
000548237A
—
GA
05
—
000647336A
—
GA
Enumeration date
03/15/2006
Last updated
03/18/2014
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