1245393438 NPI number — TELFAIR COUNTY SCHOOLS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245393438 NPI number — TELFAIR COUNTY SCHOOLS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TELFAIR COUNTY SCHOOLS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245393438
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
910 W HUCKABEE ST
Provider Second Line Business Mailing Address:
P.O. BOX 240
Provider Business Mailing Address City Name:
MC RAE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31055-1951
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
229-868-5661
Provider Business Mailing Address Fax Number:
229-868-5549

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
910 W HUCKABEE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MC RAE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31055-1951
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
229-868-5661
Provider Business Practice Location Address Fax Number:
229-868-5549
Provider Enumeration Date:
12/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HARRELSON
Authorized Official First Name:
JULIE
Authorized Official Middle Name:
H.
Authorized Official Title or Position:
ASSISTANT SUPERINTENDENT
Authorized Official Telephone Number:
229-868-5661

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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