Healthcare Provider Details

I. General information

NPI: 1417026212
Provider Name (Legal Business Name): UNION COUNTY SCHOOL SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 SCHOOL CIR
BLAIRSVILLE GA
30512-3557
US

IV. Provider business mailing address

301 SCHOOL CIR
BLAIRSVILLE GA
30512-3557
US

V. Phone/Fax

Practice location:
  • Phone: 706-745-2322
  • Fax: 706-781-3305
Mailing address:
  • Phone: 706-745-2322
  • Fax: 706-781-3305

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. TIGHE DAYLEWIS
Title or Position: SPECIAL EDUCATION DIRECTOR
Credential:
Phone: 706-745-2322