Provider Demographics
NPI:1871476275
Name:CLARKE COUNTY DEPARTMENT OF HEALTH
Entity type:Organization
Organization Name:CLARKE COUNTY DEPARTMENT OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:S
Authorized Official - Last Name:GOGGANS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-583-2870
Mailing Address - Street 1:345 N HARRIS ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30601-2411
Mailing Address - Country:US
Mailing Address - Phone:706-389-6921
Mailing Address - Fax:706-389-6897
Practice Address - Street 1:410 MCKINLEY DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-3270
Practice Address - Country:US
Practice Address - Phone:706-227-4409
Practice Address - Fax:706-354-3966
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLARKE COUNTY DEPARTMENT OF HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local