Provider Demographics
NPI:1902438922
Name:TALIAFERRO COUNTY BOARD OF HEALTH
Entity Type:Organization
Organization Name:TALIAFERRO COUNTY BOARD OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DONOHUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-825-6914
Mailing Address - Street 1:PO BOX 184
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30631-0184
Mailing Address - Country:US
Mailing Address - Phone:706-667-4265
Mailing Address - Fax:706-667-4301
Practice Address - Street 1:109 COMMERCE ST NW
Practice Address - Street 2:
Practice Address - City:CRAWFORDVILLE
Practice Address - State:GA
Practice Address - Zip Code:30631-2924
Practice Address - Country:US
Practice Address - Phone:706-456-2316
Practice Address - Fax:706-456-2334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251K00000XAgenciesPublic Health or Welfare
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty