Southwest Georgia S T E M Charter Inc
Organization Active NPI Local Education Agency (LEA) · Shellman, GA
NPI 1174074710 · NPPES record last updated Oct 19, 2016
Key facts
- NPI
- 1174074710
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Local Education Agency (LEA) 251300000X
- Legal business name
- SOUTHWEST GEORGIA S T E M CHARTER INC
- Practice address
- 185 Pecan St
Shellman, GA 39886-2548 - Phone
- (229) 679-5555
- NPI assigned
- Oct 19, 2016
- Organization subpart
- No
Authorized official
- Name
- John Vassar
- Title
- Billing Administrator
- Phone
- (386) 884-9900
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | GA | Yes |
Addresses
Primary practice location
185 Pecan St
Shellman, GA 39886-2548
Mailing address
PO Box 300
Shellman, GA 39886-0300
Other providers in Shellman, GA
All providers in Shellman, GA · Local Education Agency (LEA) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.