| NPI | 1558615096 |
|---|---|
| Other Name | GEORGIA SOUTHERN UNIVERSITY ATHLETICS |
| Entity Type | Organization |
| Authorized Contact | PAUL FERGUSON Director 912-536-2239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |