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General NPI Number Information
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NPI Number | 1861485765
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Entity Type | Organization
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Legal Business Name | BUTTS COUNTY BOARD OF HEALTH
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 463 ERNEST BILES DR SUITE A
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City | JACKSON
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State | GA
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Zip | 30233-2229
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Country | US
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Telephone | 770-504-2230
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Fax | 770-504-2229
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Provider Business Mailing Address
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Address Line | 463 ERNEST BILES DR SUITE A
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City | JACKSON
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State | GA
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Zip | 30233-2229
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Country | US
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Telephone | 770-504-2133
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Fax | 770-504-2229
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | RHONDA ELLINGTON
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Credential |
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Telephone | 706-298-7732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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License Number State |
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