Provider Demographics
NPI:1285713891
Name:CARROLL COUNTY SCHOOLS
Entity type:Organization
Organization Name:CARROLL COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAUNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-832-3568
Mailing Address - Street 1:164 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30116-7506
Mailing Address - Country:US
Mailing Address - Phone:770-832-3568
Mailing Address - Fax:770-830-1303
Practice Address - Street 1:164 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30116-7506
Practice Address - Country:US
Practice Address - Phone:770-832-3568
Practice Address - Fax:770-830-1303
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
GA235Z00000N235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00768776AMedicaid