Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X |
| NPI Number | 1144649948 |
| LBN Legal business name | WINSTON-SALEM STATE UNIVERSITY |
| Authorized official | IAN MUSHINSKI - (HEAD ATHLETIC TRAINER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/09/2014 |
| Last updated | 04/09/2014 - About 12 years ago |
| Identifiers | n/a |
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