NPI: 1841495082
Provider Name: NORTHEAST HEALTH DISTRICT - EPSDT COUNTY
Other Name: CLARKE CO HLTH DEPT DIST 10
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization
Specialization: Public Health, State or Local
CLIA Number: 11D2108409
Address:
345 N HARRIS ST
ATHENS, GA
ZIP 30601
Phone: (706) 389-6921
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NORTHEAST HEALTH DISTRICT - EPSDT COUNTY is a public health and state or local clinic center in Athens, GA. NORTHEAST HEALTH DISTRICT - EPSDT COUNTY NPI is 1841495082. The provider is registered as an organization entity type.
The provider Other Name Is Clarke Co Hlth Dept Dist 10.
The provider's business location address is:
345 N HARRIS ST
ATHENS, GA
ZIP 30601-411
Phone: (706) 389-6921
Fax: (706) 389-6897
The provider's authorized official is Donald S Goggans .
The authorized official title is Health Director and has the following contact phone number (706) 583-2870.
The CLIA number assigned to this NPI record is 11D2108409 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/18/2007 and was last updated on 11/21/2023.