Provider Demographics
NPI:1821167859
Name:FRANKLIN COUNTY BOARD OF HEALTH
Entity Type:Organization
Organization Name:FRANKLIN COUNTY BOARD OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:N
Authorized Official - Last Name:WESTFALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-531-5743
Mailing Address - Street 1:6955 HIGHWAY 145
Mailing Address - Street 2:
Mailing Address - City:CARNESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30521-4166
Mailing Address - Country:US
Mailing Address - Phone:706-384-5575
Mailing Address - Fax:706-384-4217
Practice Address - Street 1:6955 HWY 145 SOUTH
Practice Address - Street 2:
Practice Address - City:CARNESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30521
Practice Address - Country:US
Practice Address - Phone:706-384-5575
Practice Address - Fax:706-384-4217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251K00000X251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00051972EMedicaid
GA00285535BMedicaid
GA00453109DMedicaid
GA00442945EMedicaid
GA00456442KMedicaid
GA00058638AMedicaid
GA00051972EMedicaid