Organization
EAST TALLAHATCHIE SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM H. TRIBBLE (SUPERINTENDENT)
(662) 647-5524
Entity
Organization
Contact information
Practice address
35 OAK GROVE ROAD, CHARLESTON, MS 38921
(662) 647-5490
(662) 647-2113
Mailing address
411 E CHESTNUT ST, CHARLESTON, MS 38921-1701
(662) 647-5524
(662) 647-3720
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R855475
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01535361
—
MS
Enumeration date
05/14/2007
Last updated
08/22/2020
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