Healthcare Provider Details

I. General information

NPI: 1548338932
Provider Name (Legal Business Name): WILCOX COUNTY BOARD OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 2ND AVE
ROCHELLE GA
31079-2149
US

IV. Provider business mailing address

PO BOX 235
ROCHELLE GA
31079-0235
US

V. Phone/Fax

Practice location:
  • Phone: 229-365-2310
  • Fax: 229-365-7825
Mailing address:
  • Phone: 229-365-2310
  • Fax: 229-365-7825

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: MISSY MULLIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 478-275-6545