| Gcsu Sports Medicine | |
|
120 W Campus Dr Cbx 091 Milledgeville GA 31061-1990 | |
| (478) 445-5288 | |
| (478) 445-3142 |
| Full Name | Gcsu Sports Medicine |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 120 W Campus Dr Cbx 091, Milledgeville, Georgia |
| Authorized Official Name and Position | Paul Jones (VP OF ADMINISTRATION & OPERATIONS) |
| Authorized Official Contact | 4784455148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gcsu Sports Medicine 120 W Campus Dr Cbx 091 Milledgeville GA 31061-1990 Ph: (478) 445-5288 | Gcsu Sports Medicine 120 W Campus Dr Cbx 091 Milledgeville GA 31061-1990 Ph: (478) 445-5288 |
| NPI Number | 1154758001 |
|---|---|
| Provider Enumeration Date | 10/08/2013 |
| Last Update Date | 10/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154758001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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