Organization
GILMER COUNTY BOARD OF EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L. VASSAR (BILLING ADMINISTRATOR)
(386) 884-9900
Entity
Organization
Contact information
Practice address
134 INDUSTRIAL BLVD, ELLIJAY, GA 30540-3713
(706) 276-5000
(706) 276-5005
Mailing address
134 INDUSTRIAL BLVD, ELLIJAY, GA 30540-3713
(706) 276-5000
(706) 276-5005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
235Z00000N
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00785243A
—
GA
Enumeration date
11/13/2006
Last updated
10/10/2012
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