Organization
STEWART COUNTY BOARD OF EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L VASSAR JR. (BILLING ADMINISTRATOR)
(386) 884-9900
Entity
Organization
Contact information
Practice address
7168 GREEN GROVE RD, LUMPKIN, GA 31815-4848
(229) 838-4329
Mailing address
PO BOX 799, WHITE SPRINGS, FL 32096-0799
(229) 838-4329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000798025A
—
GA
Enumeration date
04/23/2007
Last updated
11/02/2012
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