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General NPI Number Information
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NPI Number | 1316928930
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Entity Type | Organization
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Legal Business Name | MCINTOSH COUNTY BOARD OF HEALTH
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | 1335 GA HIGHWAY 57
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City | TOWNSEND
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State | GA
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Zip | 31331-8130
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Country | US
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Telephone | 912-832-5473
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Fax | 912-832-5509
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Provider Business Mailing Address
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Address Line | 150 SCRANTON CONNECTOR
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City | BRUNSWICK
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State | GA
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Zip | 31525-0540
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Country | US
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Telephone | 912-262-2347
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Fax | 912-262-3036
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Authorized Official
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Title or Position | DISTRICT BILLING DEPT COORDINATOR
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Name | STACY A COOPER
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Credential |
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Telephone | 912-262-2347
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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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