Provider Demographics
NPI:1467578401
Name:TATTNALL COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:TATTNALL COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING OFFICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-427-7153
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:REIDSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30453-0157
Mailing Address - Country:US
Mailing Address - Phone:912-557-4726
Mailing Address - Fax:912-557-3036
Practice Address - Street 1:147 BRAZELL ST
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30453-0157
Practice Address - Country:US
Practice Address - Phone:912-557-4726
Practice Address - Fax:912-557-3036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)