NORTHEAST HEALTH DISTRICT - EPSDT NPI 1477758332

NPI Information

NORTHEAST HEALTH DISTRICT - EPSDT is a public health and state or local clinic center in Watkinsville, GA. NORTHEAST HEALTH DISTRICT - EPSDT NPI is 1477758332. The provider is registered as an organization entity type.
The provider Other Name Is Oconee Co Hlth Dept Dist 10.

The provider's business location address is:

1060 EXPERIMENT STATION RD
WATKINSVILLE, GA
ZIP 30677-323
Phone: (706) 769-3983
Fax: (706) 769-3913

The provider's authorized official is Claude A Burnett .
The authorized official title is Medical Director and has the following contact phone number (706) 583-2870.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 4/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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