NPI:
1205031267
Provider Name:
NORTHEAST HEALTH DISTRICT - EPSDT
Other Name: MORGAN CO HLTH DEPT DIST 10
Classification:
Clinic/Center - 261QP0905X
Entity Type:
Organization
Specialization: Public Health, State or Local
Address:
2005 S MAIN ST STE 200
MADISON, GA
ZIP 30650
Phone:
(706) 752-1266
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NORTHEAST HEALTH DISTRICT - EPSDT is a public health and state or local clinic center in Madison, GA. NORTHEAST HEALTH DISTRICT - EPSDT NPI is 1205031267. The provider is registered as an organization entity type.
The provider Other Name Is Morgan Co Hlth Dept Dist 10.
The provider's business location address is:
2005 S MAIN ST STE 200
MADISON, GA
ZIP 30650-055
Phone: (706) 752-1266
Fax: (706) 752-0286
The provider's authorized official is Donald S Goggans .
The authorized official title is Health Director and has the following contact phone number (706) 583-2870.
The enumeration date for this NPI number is 6/19/2007 and was last updated on 11/21/2023.