Provider Demographics
NPI:1669565834
Name:CHATHAM COUNTY BOARD OF HEALTH
Entity type:Organization
Organization Name:CHATHAM COUNTY BOARD OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LABORATORY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:Z
Authorized Official - Last Name:WEEMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-356-2441
Mailing Address - Street 1:1395 EISENHOWER DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416
Mailing Address - Country:US
Mailing Address - Phone:912-356-2441
Mailing Address - Fax:912-356-2499
Practice Address - Street 1:1395 EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31416
Practice Address - Country:US
Practice Address - Phone:912-356-2148
Practice Address - Fax:912-356-2499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA025-003291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory