Healthcare Provider Details

I. General information

NPI: 1265502850
Provider Name (Legal Business Name): TURNER COUNTY BOARD OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 06/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 N CLEVELAND ST
ASHBURN GA
31714-5323
US

IV. Provider business mailing address

PO BOX 799
WHITE SPRINGS FL
32096-0799
US

V. Phone/Fax

Practice location:
  • Phone: 800-565-2162
  • Fax:
Mailing address:
  • Phone: 800-565-2162
  • Fax: 888-737-1652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateGA

VIII. Authorized Official

Name: MR. JOHN L VASSAR JR.
Title or Position: PROGRAM ADMINSTRATOR
Credential:
Phone: 800-565-2162