| NPI | 1154758001 |
|---|---|
| Doing Business As | GCSU SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | PAUL JONES VP Of Administration & Operations 478-445-5148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |