Healthcare Provider Details
I. General information
NPI: 1033387568
Provider Name (Legal Business Name): WALKER COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/19/2008
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
705 20TH AVE E
JASPER AL
35501-4071
US
IV. Provider business mailing address
705 20TH AVE E
JASPER AL
35501-4071
US
V. Phone/Fax
- Phone: 205-221-9775
- Fax:
- Phone: 205-221-9775
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KAREN
M
LANDERS
Title or Position: PHYSICIAN DIRECTOR
Credential: M.D.
Phone: 256-383-1231