Provider Demographics
NPI:1003814278
Name:CHATHAM COUNTY BOARD OF HEALTH
Entity Type:Organization
Organization Name:CHATHAM COUNTY BOARD OF HEALTH
Other - Org Name:CHATHAM COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF COASTAL HEALTH DISTRICT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:SKELTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-644-5210
Mailing Address - Street 1:2011 EISENHOWER DR
Mailing Address - Street 2:P.O. BOX 14257
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3905
Mailing Address - Country:US
Mailing Address - Phone:912-356-2233
Mailing Address - Fax:912-356-2868
Practice Address - Street 1:2011 EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3905
Practice Address - Country:US
Practice Address - Phone:912-356-2233
Practice Address - Fax:912-356-2868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAFLU230Medicare ID - Type UnspecifiedPROVIDER NUMBER
GAGRP1660Medicare ID - Type UnspecifiedPROVIDER NUIMBER