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General NPI Number Information
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NPI Number | 1740669696
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Entity Type | Organization
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Legal Business Name | CHATHAM COUNTY HEALTH DEPT
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 06/15/2015
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Provider Practice Location Address
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Address Line | 1602 DRAYTON ST
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City | SAVANNAH
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State | GA
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Zip | 31401-7526
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Country | US
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Telephone | 912-651-2116
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Fax |
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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 | 912-651-2116
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. DIANE WEEMS
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Credential | M.D.
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Telephone | 912-651-2575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number | LPN028231
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License Number State | GA
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