Organization
CITY SCHOOLS OF DECATUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L VASSAR JR. (BILLING ADMINISTRATOR)
(800) 565-2162
Entity
Organization
Contact information
Practice address
758 SCOTT BLVD, DECATUR, GA 30030-2357
(404) 370-4400
Mailing address
PO BOX 799, WHITE SPRINGS, FL 32096-0799
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000579323C
—
GA
Enumeration date
03/31/2009
Last updated
03/31/2009
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