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General NPI Number Information
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NPI Number | 1427093285
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Entity Type | Organization
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Legal Business Name | CRISP COUNTY BOARD OF HEALTH
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 111 E 24TH AVE
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City | CORDELE
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State | GA
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Zip | 31015-3834
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Country | US
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Telephone | 833-337-1749
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Fax | 706-321-6126
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Provider Business Mailing Address
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Address Line | 111 E 24TH AVE
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City | CORDELE
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State | GA
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Zip | 31015-3834
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Country | US
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Telephone | 833-337-1749
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Fax | 706-321-6126
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Authorized Official
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Title or Position | HEALTH DIRECTOR
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Name | BEVERLEY TOWNSEND
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Credential | M.D.
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Telephone | 706-321-6108
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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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