Healthcare Provider Details

I. General information

NPI: 1477180164
Provider Name (Legal Business Name): BURKE COUNTY BOARD OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 DOGWOOD DR
WAYNESBORO GA
30830-5446
US

IV. Provider business mailing address

PO BOX 238
WAYNESBORO GA
30830-0238
US

V. Phone/Fax

Practice location:
  • Phone: 706-554-3456
  • Fax: 762-218-2757
Mailing address:
  • Phone: 706-554-3456
  • Fax: 762-218-2757

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: LEE ANN DONOHUE
Title or Position: DISTRICT HEALTH DIRECTOR
Credential: MD
Phone: 706-825-6914