Organization
COMMERCE CITY SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAM SUMMEY (SPECIAL EDUCATION DIRECTOR)
(706) 335-5500
Entity
Organization
Contact information
Practice address
270 LAKEVIEW DR, COMMERCE, GA 30529-2632
(706) 335-5500
(706) 335-2796
Mailing address
270 LAKEVIEW DR, COMMERCE, GA 30529-2632
(706) 335-5500
(706) 335-2796
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000776124B
GEORGIA MEDICAID PROVIDER ENROLLMENT
GA
Enumeration date
10/21/2008
Last updated
10/21/2008
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