MEDICARE: HALL COUNTY BOARD OF HEALTH

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		GA

General Provider Information

NPI Number	:	1447283122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALL COUNTY BOARD OF HEALTH

Provider Business Mailing Address
First Line	:	1290 ATHENS ST
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30507-7000
Country	:	US
Telephone Number	:	770-531-5600
Fax Number	:	770-531-6035

Provider Business Practice Location Address
First Line	:	1290 ATHENS ST
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30507-7000
Country	:	US
Telephone Number	:	770-531-5600
Fax Number	:	770-531-6035

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	DEBI L HOJDILA
Credential	:
Telephone Number	:	770-531-5600

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	11/12/2008

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Practice Location Address:

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Directions to “HALL COUNTY BOARD OF HEALTH ” Practice Location

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