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NPI Code Detail

MEDICARE: PUTNAM COUNTY BOARD OF EDUCATION

MEDICARE: PUTNAM COUNTY BOARD OF EDUCATION
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
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1992042907
Entity Type Code : Organization
Provider Name (Legal Business Name) : PUTNAM COUNTY BOARD OF EDUCATION
Provider Business Mailing Address
First Line : PO BOX 8114
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37414-0114
Country : US
Telephone Number : 423-622-1551
Fax Number : 877-856-7133
Provider Business Practice Location Address
First Line : 1400 E SPRING ST
Second Line :
City : COOKEVILLE
State : TN
Zip : 38506-4313
Country : US
Telephone Number : 423-622-1551
Fax Number : 877-856-7133
Authorized Official
Title or Position : SUPERVISOR OF SPECIAL EDUCATION
Name : SHERI ROBERSON
Credential :
Telephone Number : 423-622-1551
Provider Enumeration Date : 01/10/2013
Last Update Date : 11/23/2019

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Directions to “PUTNAM COUNTY BOARD OF EDUCATION ” Practice Location

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