Organization
MARION COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAVELL JACKSON (SUPERINTENDENT)
(205) 921-3191
Entity
Organization
Contact information
Practice address
188 WINCHESTER DR, HAMILTON, AL 35570-6626
(205) 921-3191
Mailing address
188 WINCHESTER DR, HAMILTON, AL 35570-6626
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022047000
—
AL
05
—
052047000
—
AL
05
—
064047000
—
AL
05
—
065047000
—
AL
05
—
068047000
—
AL
05
—
089047000
—
AL
Enumeration date
07/31/2008
Last updated
07/31/2008
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