# GEORGIA SOUTHWESTERN STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GSW Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023422417
- **Authorized official:** CARRIE RAHN ATC (HEAD TRAINER FOR SPORTS MEDICINE)
- **Authorized official phone:** (229) 931-2297

## Contact information

- **Practice address:** 800 GSW UNIVERSITY DRIVE, AMERICUS, GA 31709
- **Practice address phone:** (229) 931-2225
- **Practice address fax:** (229) 931-2143
- **Mailing address:** 5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
- **Mailing address phone:** (972) 367-4835
- **Mailing address fax:** (972) 367-3451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2014
- **Last updated:** 06/13/2014