Provider Demographics
NPI:1619606738
Name:SCREVEN COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:SCREVEN COUNTY HEALTH DEPARTMENT
Other - Org Name:SCREVEN COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DISTRICT HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DONOHUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-825-6914
Mailing Address - Street 1:416 PINE ST
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:GA
Mailing Address - Zip Code:30467-2036
Mailing Address - Country:US
Mailing Address - Phone:912-564-2182
Mailing Address - Fax:912-564-7887
Practice Address - Street 1:416 PINE ST
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:GA
Practice Address - Zip Code:30467-2036
Practice Address - Country:US
Practice Address - Phone:912-564-2182
Practice Address - Fax:912-564-7887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare