institution
Northeast Health District - Epsdt
State or Local Public Health Clinic/Center in Madison, Georgia
NPI 1205031267

Northeast Health District - Epsdt is a State or Local Public Health Clinic/Center based in Madison, GA and is specialized in Public Health, State or Local. Northeast Health District - Epsdt practices in Madison, GA. The NPI Number for Northeast Health District - Epsdt is 1205031267 and holds a License No. (Georgia).

The current practice location address for Northeast Health District - Epsdt is 2005 S Main St Ste 200, Madison, GA and can be reached out via phone at 706-752-1266 and via fax at 706-752-0286.

Location: 2005 S Main St Ste 200, Madison, GA, 30650-2055
institution
Provider Profile Details
NPI Number
1205031267
Provider Name
Northeast Health District - Epsdt
Credential
Provider Entity Type
Organization
Address
2005 S Main St Ste 200, Madison, GA, 30650-2055
Phone Number
706-752-1266
Fax Number
706-752-0286
Provider Enumeration Date
06/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000051983H 05 GA
institution
Provider Business Practice Location Address Details
Address
2005 S Main St Ste 200
City
State
Zip
30650-2055
Phone Number
706-752-1266
Fax Number
706-752-0286
person
Provider Business Mailing Address Details
Address
2005 S Main St Ste 200
City
State
Zip
30650-2055
Phone Number
706-752-1266
Fax Number
706-752-0286
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Public Health, State or Local
Taxonomy
License No.
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Definition
Definition to come...
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