| Board Of Health Walton County | |
|
1404 S Madison Ave Monroe GA 30655-2816 | |
| (770) 207-4125 | |
| (770) 207-4129 |
| Full Name | Board Of Health Walton County |
|---|---|
| Speciality | Clinic/Center |
| Location | 1404 S Madison Ave, Monroe, Georgia |
| Authorized Official Name and Position | Donald S Goggans (HEALTH DIRECTOR) |
| Authorized Official Contact | 7065832870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Board Of Health Walton County 1404 S Madison Ave Monroe GA 30655-2816 Ph: (770) 207-4125 | Board Of Health Walton County 1404 S Madison Ave Monroe GA 30655-2816 Ph: (770) 207-4125 |
| NPI Number | 1619014529 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 07/23/2025 |
| Medicare PECOS PAC ID | 0648439836 |
|---|---|
| Medicare Enrollment ID | O20120307000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619014529 | NPI | - | NPPES |
| 000456574A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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