Organization
COFFEE COUNTY BOARD OF EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATSY MOORE (MEDICIAD CLERK)
(912) 383-5338
Entity
Organization
Contact information
Practice address
1311 PETERSON AVE S, DOUGLAS, GA 31533-4401
(912) 383-5338
(912) 383-5439
Mailing address
1311 PETERSON AVE S, DOUGLAS, GA 31533-4401
(912) 383-5338
(912) 383-5439
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
347B00000X
Bus
—
—
Other
Enumeration date
12/12/2006
Last updated
09/11/2025
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