Organization
RANDOLPH COUNTY COUTNY SCHOOL SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L VASSAR JR. (BILLING ADMINISTRATOR)
(386) 884-9900
Entity
Organization
Contact information
Practice address
3451 GA HWY 266, CUTHBERT, GA 39840
(800) 565-2162
(229) 273-0704
Mailing address
PO BOX 799, WHITE SPRINGS, FL 32096-0799
(386) 884-9900
(888) 737-1652
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000775387A
PROVIDER NUMBER
GA
05
—
000775387A
—
GA
Enumeration date
11/13/2006
Last updated
02/07/2011
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