Provider Demographics
NPI:1194846980
Name:COUNTY OF DAWSON HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:COUNTY OF DAWSON HEALTH DEPARTMENT
Other - Org Name:DHR PUBLIC HEALTH
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO COUNTY OF DAWSON HEALTH DEPARTM
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:WESTFALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-535-5743
Mailing Address - Street 1:1280 ATHENS ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30507-7000
Mailing Address - Country:US
Mailing Address - Phone:770-535-5743
Mailing Address - Fax:770-535-5899
Practice Address - Street 1:54 HWY 53 EAST
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534
Practice Address - Country:US
Practice Address - Phone:706-265-2611
Practice Address - Fax:706-265-1636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN023308251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare