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NPI Code Detail

MEDICARE: FULTON COUNTY BOARD OF HEALTH

MEDICARE: FULTON 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
1261QP0905XState or Local Public Health Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number : 1841716701
Entity Type Code : Organization
Provider Name (Legal Business Name) : FULTON COUNTY BOARD OF HEALTH
Provider Business Mailing Address
First Line : 10 PARK PLACE SOUTH SE FL 4
Second Line :
City : ATLANTA
State : GA
Zip : 30303-2913
Country : US
Telephone Number : 770-520-7500
Fax Number :
Provider Business Practice Location Address
First Line : 2805 METROPOLITAN PKWY SW
Second Line :
City : ATLANTA
State : GA
Zip : 30315-7915
Country : US
Telephone Number : 770-520-7276
Fax Number :
Authorized Official
Title or Position : DISTRICT HEALTH DIRECTOR
Name : DR. LYNN PAXTON
Credential : MD., M.P.H
Telephone Number : 770-520-7489
Provider Enumeration Date : 08/22/2017
Last Update Date : 09/16/2024

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Directions to “FULTON COUNTY BOARD OF HEALTH ” Practice Location

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