MEDICARE: FULTON COUNTY HEALTH DEPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency
2	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184790107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FULTON COUNTY HEALTH DEPT

Provider Business Mailing Address
First Line	:	99 JESSE HILL JR. DRIVE
Second Line	:	STE 402
City	:	ATLANTA
State	:	GA
Zip	:	30303
Country	:	US
Telephone Number	:	404-613-1220
Fax Number	:	404-224-5235

Provider Business Practice Location Address
First Line	:	2805 METROPOLITAN PKWY SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-7913
Country	:	US
Telephone Number	:	404-612-4111
Fax Number	:

Authorized Official
Title or Position	:	ACCOUNTING MANAGER
Name	:	MRS. LASHONNA JACKSON-CLARK
Credential	:
Telephone Number	:	404-613-1220

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	07/22/2014

Similar Medicare Providers

1437284668 — ADRIANE D THOMAS LCSW
Practice Location Address:

2799 METROPOLITAN PKWY SW
ATLANTA, GA
30315-7913

Practice Phone: 404-762-4111
Practice Fax: 404-762-4109

1265646574 — SOLANGE A. PILARES
Practice Location Address:

2799 METROPOLITAN PKWY SW
ATLANTA, GA
30315-7913

Practice Phone: 404-762-4111
Practice Fax:

1538399175 — WALGREEN CO
Practice Location Address:

2711 METROPOLITAN PKWY SW
ATLANTA, GA
30315-7913

Practice Phone: 404-768-9719
Practice Fax: 404-768-9725

1649270869 — KIMBERLY CARROLL MD
Practice Location Address:

809 CLEVELAND AVE SW
ATLANTA, GA
30315-7108

Practice Phone: 404-767-2536
Practice Fax: 404-767-2779

1235123993 — SOUTHSIDE MEDICAL CENTER, INC.
Practice Location Address:

1046 RIDGE AVE SW
ATLANTA, GA
30315-1640

Practice Phone: 404-688-1350
Practice Fax: 404-688-2962

1972597656 — DR. AFUA SARPON BOATEN MD
Practice Location Address:

1046 RIDGE AVE SW , SOUTHSIDE MEDICAL CENTER
ATLANTA, GA
30315-1640

Practice Phone: 404-688-1350
Practice Fax: 404-801-3959

Directions to “FULTON COUNTY HEALTH DEPT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.