Organization
PEACE ACADEMY CHARTERSCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TYESE NICHOLE KING CCMA (SCHOOL NURSE)
(470) 722-0706
Entity
Organization
Contact information
Practice address
1954 CANDLER RD, DECATUR, GA 30032-4225
(470) 722-0706
Mailing address
1954 CANDLER RD, DECATUR, GA 30032-4225
(470) 722-0706
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
09/21/2023
Last updated
10/20/2023
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