Provider Demographics
NPI:1962571778
Name:TOWNS COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:TOWNS COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT HEALTH DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:N
Authorized Official - Last Name:WESTFALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-535-5743
Mailing Address - Street 1:1104 JACK DAYTON CIRCLE
Mailing Address - Street 2:
Mailing Address - City:YOUNG HARRIS
Mailing Address - State:GA
Mailing Address - Zip Code:30582
Mailing Address - Country:US
Mailing Address - Phone:706-896-2265
Mailing Address - Fax:
Practice Address - Street 1:1104 JACK DAYTON CIRCLE
Practice Address - Street 2:
Practice Address - City:YOUNG HARRIS
Practice Address - State:GA
Practice Address - Zip Code:30582
Practice Address - Country:US
Practice Address - Phone:706-896-2265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA015524251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00051972LMedicaid
GA00058638AMedicaid
GA00456442CMedicaid
GA00442945MMedicaid
GAFLU028Medicare ID - Type UnspecifiedMEDICARE IMMUNIZATIONS
GA00051972LMedicaid