Provider Demographics
NPI:1346329927
Name:BRANTLEY COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:BRANTLEY COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROXIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:TUMLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-462-6612
Mailing Address - Street 1:RR 2 BOX 22-T
Mailing Address - Street 2:122 SCHOOL CIRCLE
Mailing Address - City:NAHUNTA
Mailing Address - State:GA
Mailing Address - Zip Code:31553-9604
Mailing Address - Country:US
Mailing Address - Phone:912-462-6612
Mailing Address - Fax:912-462-6119
Practice Address - Street 1:RR 2 BOX 22-T
Practice Address - Street 2:122 SCHOOL CIRCLE
Practice Address - City:NAHUNTA
Practice Address - State:GA
Practice Address - Zip Code:31553-9604
Practice Address - Country:US
Practice Address - Phone:912-462-6612
Practice Address - Fax:912-462-6119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)