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General NPI Number Information
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NPI Number | 1124112339
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Entity Type | Organization
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Legal Business Name | BANKS COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 667 THOMPSON STREET
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City | HOMER
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State | GA
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Zip | 30547
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Country | US
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Telephone | 706-677-2296
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Fax | 706-677-4042
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Provider Business Mailing Address
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Address Line | 667 THOMPSON ST
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City | HOMER
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State | GA
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Zip | 30547-3110
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Country | US
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Telephone | 706-677-2296
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Fax | 706-677-4042
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Authorized Official
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Title or Position | PUBLIC HEALTH DIRECTOR
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Name | DAVID N WESTFALL
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Credential | M.D.
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Telephone | 706-677-2296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 015524
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License Number State | GA
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