Healthcare Provider Details

I. General information

NPI: 1811919384
Provider Name (Legal Business Name): WARREN COUNTY SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 COUSIN LUCY'S LANE
WARRENTON NC
27553
US

IV. Provider business mailing address

100 EUROPA DR. SUITE 290
CHAPEL HILL NC
27517
US

V. Phone/Fax

Practice location:
  • Phone: 252-257-3184
  • 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: DR. RAY VAUGHAN SPAIN
Title or Position: SUPERINTENDENT
Credential:
Phone: 252-257-3184