Healthcare Provider Details

I. General information

NPI: 1508941444
Provider Name (Legal Business Name): BLADEN COUNTY SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1489 HWY 701 S.
ELIZABETHTOWN NC
28337
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 910-862-4136
  • Fax: 910-862-4277
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: SUZANNE HUGGINS
Title or Position: ASST. SUPT.
Credential:
Phone: 910-862-4136