| NPI | 1154486884 |
|---|---|
| Other Name | CLAYTON STATE ATHLETICS |
| Entity Type | Organization |
| Authorized Contact | RYAN ERLACHER Athletic Director 678-466-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-01-28 |