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NPI 1306853908

NPI 1306853908 : TWIGGS DEPARTMENT OF PUBLIC HEALTH : JEFFERSONVILLE, GA

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General NPI Number Information
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    NPI Number           |    1306853908
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    Entity Type          |    Organization 
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    Legal Business Name  |    TWIGGS DEPARTMENT OF PUBLIC HEALTH 
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Dates
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    Enumeration Date     |    08/03/2006
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    Last Update Date     |    07/23/2024
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Provider Practice Location Address
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    Address Line         |    26 MAIN ST 
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    City                 |    JEFFERSONVILLE
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    State                |    GA
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    Zip                  |    31044-3638
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    Country              |    US
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    Telephone            |    478-945-3351
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    Fax                  |    478-945-6693
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Provider Business Mailing Address
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    Address Line         |    201 2ND ST STE 1100 
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    City                 |    MACON
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    State                |    GA
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    Zip                  |    31201-6328
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    Country              |    US
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    Telephone            |    478-297-5190
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    Fax                  |    478-751-6099
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Authorized Official
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    Title or Position    |    AUTHORIZED OFFICIAL
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    Name                 |     DANIELLE  MCNAIR 
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    Credential           |    
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    Telephone            |    478-751-6303
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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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