Healthcare Provider Details

I. General information

NPI: 1093911265
Provider Name (Legal Business Name): GREENE COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 APALACHEE AVE
GREENSBORO GA
30642-2710
US

IV. Provider business mailing address

PO BOX 867
GREENSBORO GA
30642-0867
US

V. Phone/Fax

Practice location:
  • Phone: 706-453-7561
  • Fax: 706-453-9120
Mailing address:
  • Phone: 706-453-7561
  • Fax: 706-453-9120

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