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General NPI Number Information
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NPI Number | 1003798851
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Entity Type | Organization
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Legal Business Name | JACKSON COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 623 S ELM ST
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City | COMMERCE
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State | GA
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Zip | 30529-3208
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Country | US
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Telephone | 706-335-3895
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Fax | 706-335-6307
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Provider Business Mailing Address
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Address Line | 341 STAN EVANS DR
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City | JEFFERSON
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State | GA
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Zip | 30549-2909
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Country | US
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Telephone | 706-367-5204
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Fax | 706-367-9023
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Authorized Official
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Title or Position | HEALTH DIRECTOR
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Name | DONALD S GOGGANS
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Credential | MD
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Telephone | 706-583-2870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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