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Contact Information

GCSU ATHLETIC TRAINING
251 S CLARK ST
MILLEDGEVILLE, GA31061
 Phone: 478-445-1787
 Fax: 478-445-1790
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for GCSU ATHLETIC TRAINING · (Female)

NPI # 1033111638
Status Active
Credentials
Entity Individual
Enumeration date 08/12/2005
Last updated 10/02/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 140
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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