Valdosta State University Student Health Services

NPI 1801189402 - Registered Nurse - 163WC1400X

NPI Details
NPI 1801189402
Enumeration Date 05/16/2011
Last Updated 05/16/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name EDWIN L EDWIN
Position ADMINISTRATOR
Phone (229) 333-5886
Fax (229) 249-2791
Practice Location
200 GEORGIA AVENUE
VALDOSTA GA, 31698, US
Phone (229) 333-5886
Fax (229) 249-2791
Business Location
200 GEORGIA AVENUE
VALDOSTA GA, 31698, US
Phone (229) 333-5886
Fax (229) 249-2791
Toxanomy
Taxonomy Code 163WC1400X
License State
License Number
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According to our database, Valdosta State University Student Health Services NPI is 1801189402, taxonomy code is 163WC1400X Valdosta State University Student Health Services physically located at 200 Georgia Avenue, Valdosta GA, 31698. NPI Number 1033115704 has the healthcare provider type.

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1801189402 NPI number is provided on an as is basis without warranty of any kind. 1801189402 is maintained by the National Plan & Provider Enumeration System. The contents of Valdosta State University Student Health Services are for informational purposes only.