=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730241514
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FORSYTH COUNTY BOARD OF EDUCATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/15/2006
-----------------------------------------------------
Last Update Date | 07/08/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1120 DAHLONEGA HWY
-----------------------------------------------------
City | CUMMING
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30040-4536
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-887-2461
-----------------------------------------------------
Fax | 770-888-1278
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1120 DAHLONEGA HWY
-----------------------------------------------------
City | CUMMING
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30040-4536
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-887-2461
-----------------------------------------------------
Fax | 770-888-1278
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF SPECIAL EDUCATION
-----------------------------------------------------
Name | MRS. SARAH TAYLOR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 770-887-2461
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------