| NPI | 1902653538 |
|---|---|
| Doing Business As | GEORGIA STATE UNIVERSITY STUDENT HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | TARA DENISE SCOTT Implementation Manager 423-602-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-20 |