| NPI | 1902353048 |
|---|---|
| Doing Business As | TUSKEGEE UNIVERSITY SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: AL 00008637) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |