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Organization
GEORGIA SOUTHWESTERN STATE UNIVERSITY
Active
Organization
GEORGIA SOUTHWESTERN STATE UNIVERSITY
Active
Other names
GSW Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE RAHN ATC (HEAD TRAINER FOR SPORTS MEDICINE)
(229) 931-2297
Entity
Organization
Contact information
Practice address
800 GSW UNIVERSITY DRIVE, AMERICUS, GA 31709
(229) 931-2225
(229) 931-2143
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
(972) 367-4835
(972) 367-3451
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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