Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health, State or Local |
261QP0905X |
| NPI # | 1457690307 |
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| LBN Legal business name | GRAY COUNTY HEALTH DEPARTMENT | ||||
| Authorized official | RAYNA MADDOX - (DIRECTOR/ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/12/2013 | ||||
| Last updated | 02/12/2013 - About 13 years ago | ||||
| Identifiers |
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