NPI Code Details Logo

NPI 1841856242

NPI 1841856242 : DFCS REGION IX : DUBLIN, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1841856242
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    DFCS REGION IX 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/13/2019
-----------------------------------------------------
    Last Update Date     |    05/13/2019
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    904 CLAXTON DAIRY RD 
-----------------------------------------------------
    City                 |    DUBLIN
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31021-5423
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    478-275-6533
-----------------------------------------------------
    Fax                  |    478-296-6154
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 948 
-----------------------------------------------------
    City                 |    DUBLIN
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31040-0948
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    478-275-6533
-----------------------------------------------------
    Fax                  |    478-296-6154
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    FINANCIAL OPERATION GENERALIST
-----------------------------------------------------
    Name                 |     TANGELA  KING 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    478-296-6155
-----------------------------------------------------

=====================================================
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.