Provider Demographics
NPI:1750459533
Name:TREUTLEN COUNTY BOARD OF HEALTH
Entity Type:Organization
Organization Name:TREUTLEN COUNTY BOARD OF HEALTH
Other - Org Name:TREUTLEN COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:SPICER
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-275-6545
Mailing Address - Street 1:PO BOX 585
Mailing Address - Street 2:
Mailing Address - City:SOPERTON
Mailing Address - State:GA
Mailing Address - Zip Code:30457-0585
Mailing Address - Country:US
Mailing Address - Phone:912-529-4217
Mailing Address - Fax:912-529-4393
Practice Address - Street 1:5614 N THIRD ST
Practice Address - Street 2:
Practice Address - City:SOPERTON
Practice Address - State:GA
Practice Address - Zip Code:30457-2009
Practice Address - Country:US
Practice Address - Phone:912-529-4217
Practice Address - Fax:912-529-4393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare