Georgia Southwestern State University

NPI 1023422417 - Clinic/Center - 261QS1000X

NPI Details
NPI 1023422417
Enumeration Date 06/13/2014
Last Updated 06/13/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CARRIE CARRIE
Position HEAD TRAINER FOR SPORTS MEDICINE
Phone (229) 931-2225
Fax (229) 931-2143
Practice Location
800 GSW UNIVERSITY DRIVE
AMERICUS GA, 31709, US
Phone (229) 931-2225
Fax (229) 931-2143
Business Location
5050 SPRING VALLEY RD
DALLAS TX, 75244-3995, US
Phone (972) 367-4835
Fax (972) 367-3451
Toxanomy
Taxonomy Code 261QS1000X
License State
License Number
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According to our database, Georgia Southwestern State University NPI is 1023422417, taxonomy code is 261QS1000X Georgia Southwestern State University physically located at 800 Gsw University Drive, Americus GA, 31709. NPI Number 1033115704 has the healthcare provider type.

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1023422417 NPI number is provided on an as is basis without warranty of any kind. 1023422417 is maintained by the National Plan & Provider Enumeration System. The contents of Georgia Southwestern State University are for informational purposes only.