Provider Demographics
NPI:1598821035
Name:SOUTH HEALTH DISTRICT
Entity Type:Organization
Organization Name:SOUTH HEALTH DISTRICT
Other - Org Name:SOUTH HEALTH DISTRICT C1ST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-245-6439
Mailing Address - Street 1:2700 N OAK ST BLDG B
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-5903
Mailing Address - Country:US
Mailing Address - Phone:229-293-6286
Mailing Address - Fax:229-293-6292
Practice Address - Street 1:2700 N OAK ST BLDG B
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-5903
Practice Address - Country:US
Practice Address - Phone:229-293-6286
Practice Address - Fax:229-293-6292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare