Healthcare Provider Details

I. General information

NPI: 1124099908
Provider Name (Legal Business Name): NEWTON COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8203 HAZELBRAND RD NE
COVINGTON GA
30014-1510
US

IV. Provider business mailing address

324 W PIKE ST P.O. BOX 897
LAWRENCEVILLE GA
30045-4880
US

V. Phone/Fax

Practice location:
  • Phone: 770-786-9086
  • Fax: 770-786-0715
Mailing address:
  • Phone: 770-339-4260
  • Fax: 770-963-6322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: VERONICA E HUDSON
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 678-442-6884