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Organization
GEORGIA SOUTHERN UNIVERSITY
Active
Organization
GEORGIA SOUTHERN UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MASSAR (AUTHORIZED OFFICIAL)
(847) 250-5470
Entity
Organization
Contact information
Practice address
HANNER FIELD HOUSE, 590 HERTY DRIVE ROOM 1216C, STATESBORO, GA 30460-1000
(912) 531-1436
(912) 478-1017
Mailing address
PO BOX 8082, STATESBORO, GA 30460-1000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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