Healthcare Provider Details

I. General information

NPI: 1811908122
Provider Name (Legal Business Name): WALKER COUNTY BOARD OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 E VILLANOW ST
LA FAYETTE GA
30728-2618
US

IV. Provider business mailing address

PO BOX 609 603 E. VILLANOW ST.
LA FAYETTE GA
30728-0609
US

V. Phone/Fax

Practice location:
  • Phone: 706-638-5577
  • Fax: 706-638-5543
Mailing address:
  • Phone: 706-638-5577
  • Fax: 706-620-2039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number025271
License Number StateGA

VIII. Authorized Official

Name: GARY VOCCIO
Title or Position: DISTRICT HEALTH DIRECTOR
Credential: MD
Phone: 706-295-6704