| NPI | 1962787804 |
|---|---|
| Doing Business As | VALDOSTA STATE UNIVERSITY SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JAY JOHNSON Head Athletic Trainer 229-333-5897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2022-12-19 |