# SOUTHWEST GEORGIA S T E M CHARTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174074710
- **Authorized official:** JOHN VASSAR (BILLING ADMINISTRATOR)
- **Authorized official phone:** (386) 884-9900

## Contact information

- **Practice address:** 185 PECAN ST, SHELLMAN, GA 39886-2548
- **Practice address phone:** (229) 679-5555
- **Mailing address:** PO BOX 300, SHELLMAN, GA 39886-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | GA | Yes |

## Other

- **Enumeration date:** 10/19/2016
- **Last updated:** 10/19/2016