MEDICARE: WHITE COUNTY SCHOOL SYSTEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)		GA

General Provider Information

NPI Number	:	1770654287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITE COUNTY SCHOOL SYSTEM

Provider Business Mailing Address
First Line	:	113 N BROOKS ST
Second Line	:
City	:	CLEVELAND
State	:	GA
Zip	:	30528-1117
Country	:	US
Telephone Number	:	706-865-4227
Fax Number	:	706-865-5290

Provider Business Practice Location Address
First Line	:	113 N BROOKS ST
Second Line	:
City	:	CLEVELAND
State	:	GA
Zip	:	30528-1117
Country	:	US
Telephone Number	:	706-865-4227
Fax Number	:	706-865-5290

Authorized Official
Title or Position	:	SPECIAL DIRECTOR
Name	:	MR. RANDALL JARRARD
Credential	:
Telephone Number	:	706-865-4227

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	08/22/2020

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