Organization
SHELBY COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY FULLER (SUPERINTENDENT)
(205) 682-7000
Entity
Organization
Contact information
Practice address
410 E COLLEGE ST, COLUMBIANA, AL 35051-9301
(205) 682-7000
Mailing address
PO BOX 1910, COLUMBIANA, AL 35051-1910
(205) 682-7000
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022059000
—
AL
05
—
052059000
—
AL
05
—
064059000
—
AL
05
—
065059000
—
AL
05
—
068059000
—
AL
05
—
089059000
—
AL
Enumeration date
03/15/2007
Last updated
06/17/2008
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