Provider Demographics
NPI:1750471272
Name:PUTNAM COUNTY COMMISSIONERS
Entity Type:Organization
Organization Name:PUTNAM COUNTY COMMISSIONERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:BRADFORD
Authorized Official - Last Name:MURPHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-818-8491
Mailing Address - Street 1:PO BOX 3428
Mailing Address - Street 2:
Mailing Address - City:EATONTON
Mailing Address - State:GA
Mailing Address - Zip Code:31024-3428
Mailing Address - Country:US
Mailing Address - Phone:706-485-5826
Mailing Address - Fax:706-923-2346
Practice Address - Street 1:882 S OAK STREET
Practice Address - Street 2:
Practice Address - City:EATONTON
Practice Address - State:GA
Practice Address - Zip Code:31024-3428
Practice Address - Country:US
Practice Address - Phone:706-485-5826
Practice Address - Fax:706-923-2346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA59RCBKHMedicare ID - Type Unspecified