=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538196522
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STEWART COUNTY BOARD OF HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/27/2006
-----------------------------------------------------
Last Update Date | 09/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 211 HEALTH DEPARTMENT RD
-----------------------------------------------------
City | LUMPKIN
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31815-4042
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 833-337-1749
-----------------------------------------------------
Fax | 229-838-6053
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 307
-----------------------------------------------------
City | LUMPKIN
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31815-0307
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 833-337-1749
-----------------------------------------------------
Fax | 229-838-6053
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DISTRICT HEALTH DIRECTOR
-----------------------------------------------------
Name | BEVERLEY TOWNSEND
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 706-321-6108
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251K00000X
-----------------------------------------------------
Taxonomy Name | Public Health or Welfare Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------