Organization
PELL CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY HATHCOCK (SUPERINTENDENT)
(205) 884-4440
Entity
Organization
Contact information
Practice address
1000 BRUCE ETHEREDGE PKWY, SUITE 201, PELL CITY, AL 35128-3213
(205) 884-4440
Mailing address
1000 BRUCE ETHEREDGE PKWY, SUITE 201, PELL CITY, AL 35128-3213
(205) 884-4440
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
08/22/2020
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