is a Public Health Or Welfare in Sylvania, Georgia. practices all healthcare services and medical treatments related to Public Health Or Welfare. The NPI Number for is 1992756522. The last update date is .
's current location address is 416 Pine St, Sylvania, Georgia. You can contact this provider via phone number 9125642190 and fax number 9125647887. The mailing address for is 416 Pine St, Sylvania, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 416 Pine St, Sylvania, Georgia |
| Phone Number | 9125642190 |
| Fax Number | 9125647887 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1992756522 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 416 Pine St |
|---|---|
| City | Sylvania |
| State | Georgia (GA) |
| Post Code | 304672036 |
| Phone Number | 9125642190 |
| Fax Number | 9125647887 |
Provider's Primary Taxonomy Detail
| Speciality | Public Health Or Welfare |
|---|---|
| Taxonomy | 251K00000X |
|
Definition: Government-funded agency providing population health, disease prevention, emergency preparedness and health education services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000676563H | GA | -- | |
| 000051851K | GA | -- | |
| 000455892B | GA | -- | |
| 000456618A | GA | -- | |
| 600000530 | GA | RAILROAD MEDICARE |
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