Healthcare Provider Details

I. General information

NPI: 1972628089
Provider Name (Legal Business Name): JACKSON COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 S ELM ST
COMMERCE GA
30529-3208
US

IV. Provider business mailing address

623 S ELM ST
COMMERCE GA
30529-3208
US

V. Phone/Fax

Practice location:
  • Phone: 706-335-3895
  • Fax: 706-335-6307
Mailing address:
  • Phone: 706-335-3895
  • Fax: 706-335-6307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DONALD S GOGGANS
Title or Position: HEALTH DIRECTOR
Credential: MD
Phone: 706-583-2870