Provider Demographics
NPI:1992865455
Name:LUMPKIN COUNTY SCHOOL SYSTEM
Entity Type:Organization
Organization Name:LUMPKIN COUNTY SCHOOL SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-864-3611
Mailing Address - Street 1:56 INDIAN DR
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-3871
Mailing Address - Country:US
Mailing Address - Phone:706-864-3611
Mailing Address - Fax:706-864-0468
Practice Address - Street 1:56 INDIAN DR
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-3871
Practice Address - Country:US
Practice Address - Phone:706-864-3611
Practice Address - Fax:706-864-0468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
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)