Healthcare Provider Details

I. General information

NPI: 1912091661
Provider Name (Legal Business Name): TROUP COUNTY BOARD OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date: 09/13/2023
Reactivation Date: 11/20/2025

III. Provider practice location address

301 MAIN ST
LAGRANGE GA
30240-4503
US

IV. Provider business mailing address

301 MAIN ST
LAGRANGE GA
30240-4503
US

V. Phone/Fax

Practice location:
  • Phone: 800-847-4262
  • Fax: 706-298-6373
Mailing address:
  • Phone: 800-847-4262
  • Fax: 706-298-6373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KYLIE MYHAND
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 706-298-7709