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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

NPI Number 1033111638
LBN Legal business name GCSU ATHLETIC TRAINING
Authorized official PAUL HIGGS - (ATHLETIC TRAINER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/12/2005
Last updated 10/02/2015 - About 11 years ago
Identifiers
GA License # 140
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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