MEDICARE: WILKES COUNTY BOARD OF HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00979031	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336190958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILKES COUNTY BOARD OF HEALTH

Provider Business Mailing Address
First Line	:	1916 N LEG RD
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30909-4402
Country	:	US
Telephone Number	:	706-667-4265
Fax Number	:	706-667-4301

Provider Business Practice Location Address
First Line	:	204 GORDON ST
Second Line	:
City	:	WASHINGTON
State	:	GA
Zip	:	30673-1604
Country	:	US
Telephone Number	:	706-678-2622
Fax Number	:	706-678-3115

Authorized Official
Title or Position	:	DISTRICT HEALTH DIRECTOR
Name	:	LEE ANN DONOHUE
Credential	:	MD
Telephone Number	:	706-825-6914

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	03/05/2024

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Directions to “WILKES COUNTY BOARD OF HEALTH ” Practice Location

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