Organization
CRISP COUNTY SCHOOL SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGIE TISON (BILLING AGENT)
(229) 273-3217
Entity
Organization
Contact information
Practice address
201 S 7TH ST, CORDELE, GA 31015-4215
(229) 273-3217
Mailing address
146 ALLISON RD, CORDELE, GA 31015-8022
(229) 273-3217
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00773275A
PROVIDER NUMBER
GA
Enumeration date
11/07/2006
Last updated
08/22/2020
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