National Provider Identifier Database

FORT VALLEY STATE UNIVERSITY
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

FORT VALLEY STATE UNIVERSITY
1005 STATE UNIVERSITY DR
FORT VALLEY, GA31030-4313
Phone: 478-825-6195
Fax:
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X
Sports Medicine 207RS0010X

* Indicates primary specialty

NPI Profile & details for FORT VALLEY STATE UNIVERSITY

NPI Number 1457737769
Legal business name
LBN
FORT VALLEY STATE UNIVERSITY
Authorized official MOUZON BASS - (AGENT)
Entity Organization
Organization subpart No
Enumeration date 08/10/2015
Last updated 08/10/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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