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General NPI Number Information
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NPI Number | 1164151379
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Entity Type | Organization
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Legal Business Name | JEFFERSON COUNTY BOARD OF HEALTH
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 2501 US HIGHWAY 1 N
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City | LOUISVILLE
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State | GA
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Zip | 30434-5213
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Country | US
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Telephone | 478-625-3716
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Fax | 478-625-8201
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Provider Business Mailing Address
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Address Line | PO BOX 306
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City | LOUISVILLE
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State | GA
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Zip | 30434-0306
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Country | US
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Telephone | 478-625-3716
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Fax | 478-625-8201
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Authorized Official
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Title or Position | DISTRICT HEALTH DIRECTOR
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Name | LEE ANN DONOHUE
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Credential | MD
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Telephone | 706-825-6914
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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 |
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License Number State |
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