Healthcare Provider Details

I. General information

NPI: 1043394067
Provider Name (Legal Business Name): HALL COUNTY BOARD OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1856 THOMPSON BRIDGE RD SUITE 3
GAINESVILLE GA
30501-1663
US

IV. Provider business mailing address

1856 THOMPSON BRIDGE RD SUITE 3
GAINESVILLE GA
30501-1663
US

V. Phone/Fax

Practice location:
  • Phone: 770-535-6907
  • Fax: 770-538-2784
Mailing address:
  • Phone: 770-535-6907
  • Fax: 770-538-2784

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: MS. DEBORAH J MASON
Title or Position: FISCAL MANAGER
Credential:
Phone: 770-531-4052