| NPI | 1144649948 |
|---|---|
| Doing Business As | WSSU SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | IAN MUSHINSKI Head Athletic Trainer 336-750-2597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |