NPI Code Details Logo

NPI 1639259245

NPI 1639259245 : BARTOW COUNTY BOARD OF HEALTH : CARTERSVILLE, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1639259245
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BARTOW COUNTY BOARD OF HEALTH 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/17/2006
-----------------------------------------------------
    Last Update Date     |    08/30/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    100 ZENA DR 
-----------------------------------------------------
    City                 |    CARTERSVILLE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30121-2482
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-382-1920
-----------------------------------------------------
    Fax                  |    770-387-3999
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    100 ZENA DR 
-----------------------------------------------------
    City                 |    CARTERSVILLE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30121-2482
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-382-1920
-----------------------------------------------------
    Fax                  |    770-387-3999
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MEDICAL DIRECTOR
-----------------------------------------------------
    Name                 |     GARY  VOCCIO 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    706-295-6704
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251K00000X
-----------------------------------------------------
    Taxonomy Name        |    Public Health or Welfare Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.