=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821167859
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRANKLIN COUNTY BOARD OF HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/06/2006
-----------------------------------------------------
Last Update Date | 01/19/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6955 HWY 145 SOUTH
-----------------------------------------------------
City | CARNESVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30521
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-384-5575
-----------------------------------------------------
Fax | 706-384-4217
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6955 HIGHWAY 145
-----------------------------------------------------
City | CARNESVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30521-4166
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-384-5575
-----------------------------------------------------
Fax | 706-384-4217
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | HEALTH DIRECTOR
-----------------------------------------------------
Name | DR. DAVID N WESTFALL
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 770-531-5743
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251K00000X
-----------------------------------------------------
Taxonomy Name | Public Health or Welfare Agency
-----------------------------------------------------
License Number | 251K00000X
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------