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General NPI Number Information
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NPI Number | 1881862944
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Entity Type | Organization
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Legal Business Name | MERWIETHER CO HEALTH DEPARTMENT
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 18425 MAIN ST
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City | WOODBURY
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State | GA
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Zip | 30293-2933
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Country | US
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Telephone | 706-672-4974
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Fax | 706-672-1065
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Provider Business Mailing Address
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Address Line | 51 GAY CONNECTOR
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City | GREENVILLE
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State | GA
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Zip | 30222-3339
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Country | US
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Telephone | 706-672-4974
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Fax | 706-672-1065
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | KYLIE MYHAND
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Credential |
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Telephone | 706-298-7709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | D28997
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License Number State | GA
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