Healthcare Provider Details

I. General information

NPI: 1053332932
Provider Name (Legal Business Name): RANDOLPH COUNTY SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 S FAYETTEVILLE ST STE C
ASHEBORO NC
27205-7368
US

IV. Provider business mailing address

100 EUROPA DR STE 290
CHAPEL HILL NC
27517-2310
US

V. Phone/Fax

Practice location:
  • Phone: 336-318-6166
  • Fax:
Mailing address:
  • Phone: 919-942-9448
  • Fax: 919-942-7213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. CAROL C VONCANNON
Title or Position: DIRECTOR OF EXC CHILDREN SERVICES
Credential:
Phone: 336-318-6060