Organization
PIKE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL MARK BAZZELL (SUPERINTENDENT)
(334) 566-1850
Entity
Organization
Contact information
Practice address
101 W LOVE ST, TROY, AL 36081-1906
(334) 566-1850
Mailing address
101 W LOVE ST, TROY, AL 36081-1906
(334) 566-1850
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
08/22/2020
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