MEDICARE: WILSON COUNTY SCHOOLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003968603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILSON COUNTY SCHOOLS

Provider Business Mailing Address
First Line	:	PO BOX 2048
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27894-2048
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	117 TARBORO ST NE
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893-4016
Country	:	US
Telephone Number	:	252-399-7700
Fax Number	:

Authorized Official
Title or Position	:	EXEC. DIRECTOR EXCEPTIONAL CHILDREN
Name	:	MS. JEANETTE DAVIS
Credential	:
Telephone Number	:	252-399-7781

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	08/22/2020

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Directions to “WILSON COUNTY SCHOOLS ” Practice Location

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