| NPI | 1669973186 |
|---|---|
| Doing Business As | FORT VALLEY STATE UNIVERSITY STUDENT HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | LEONARD BEVILL President/CEO 478-751-2900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |