Healthcare Provider Details

I. General information

NPI: 1982655775
Provider Name (Legal Business Name): TALIAFERRO COUNTY BOARD OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 COMMERCE ST NW
CRAWFORDVILLE GA
30631-2924
US

IV. Provider business mailing address

1916 N LEG RD
AUGUSTA GA
30909-4402
US

V. Phone/Fax

Practice location:
  • Phone: 706-456-2316
  • Fax: 706-456-2334
Mailing address:
  • Phone: 706-667-4265
  • Fax: 706-667-4301

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: LEE ANN DONOHUE
Title or Position: DISTRICT HEALTH DIRECTOR
Credential: MD
Phone: 706-825-6914