# VALDOSTA STATE UNIVERSITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VALDOSTA STATE UNIVERSITY
- **Other names:** Center For Exercise Medicine and Rehabilitation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578117388
- **Legal business name:** VALDOSTA STATE UNIVERSITY
- **Authorized official:** MR. PAUL HIGGS LAT, ATC (DIRECTOR, ATHLETIC TRAINING CLINIC)
- **Authorized official phone:** (229) 253-2890

## Contact information

- **Practice address:** 2525 N PATTERSON ST, VALDOSTA, GA 31602-1735
- **Practice address phone:** (229) 253-2890
- **Mailing address:** 1500 N PATTERSON ST, VALDOSTA, GA 31698-0100
- **Mailing address phone:** (229) 245-2890
- **Mailing address fax:** (229) 259-5129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | — | NULL | Yes |
| 2255A2300X | Athletic Trainer | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2019
- **Last updated:** 07/30/2019