Provider Demographics
NPI:1104988526
Name:CARROLLTON CITY SCHOOLS
Entity type:Organization
Organization Name:CARROLLTON CITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STUDENT SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:WINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-834-7077
Mailing Address - Street 1:200 HM FULBRIGHT DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-8364
Mailing Address - Country:US
Mailing Address - Phone:770-834-1868
Mailing Address - Fax:770-834-4215
Practice Address - Street 1:200 HM FULBRIGHT DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-8364
Practice Address - Country:US
Practice Address - Phone:770-834-1868
Practice Address - Fax:770-834-4215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00771878AMedicaid