Healthcare Provider Details

I. General information

NPI: 1497807366
Provider Name (Legal Business Name): BOARD OF HEALTH WHITE COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 HELEN HWY
CLEVELAND GA
30528-2834
US

IV. Provider business mailing address

1331 HELEN HWY
CLEVELAND GA
30528-2834
US

V. Phone/Fax

Practice location:
  • Phone: 706-865-2191
  • Fax: 706-865-7745
Mailing address:
  • Phone: 706-865-2191
  • Fax: 706-865-7745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateGA

VIII. Authorized Official

Name: STACY T POLLARD
Title or Position: OFFICE MANAGER
Credential:
Phone: 706-865-2191