# COLUMBUS STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CSU Student Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528363066
- **Authorized official:** BECKY TEW (DIRECTOR, HEALTH SVC)
- **Authorized official phone:** (706) 507-8260

## Contact information

- **Practice address:** 4225 UNIVERSITY AVE, TUCKER HALL, COLUMBUS, GA 31907-5679
- **Practice address phone:** (706) 507-8620
- **Practice address fax:** (706) 568-2039
- **Mailing address:** PO BOX 671205, DALLAS, TX 75267-1205
- **Mailing address phone:** (866) 890-6390
- **Mailing address fax:** (469) 735-4640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2011
- **Last updated:** 01/13/2011