National Provider Identifier Database

GEORGIA SOUTHERN UNIVERSITY
Student Health


Contact Information

GEORGIA SOUTHERN UNIVERSITY
590 HERTY DRIVE
ROOM 1216
STATESBORO, GA30458
Phone: 912-478-7581
Fax: 912-478-7690
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for GEORGIA SOUTHERN UNIVERSITY

NPI Number 1558615096
Legal business name
LBN
GEORGIA SOUTHERN UNIVERSITY
Authorized official PAUL FERGUSON - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/06/2012
Last updated 11/06/2012 - About 14 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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