# ALABAMA A&M UNIVERSITY

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

## Provider details

- **NPI number:** 1952731408
- **Authorized official:** JESSIE ZUCNICK-KIMBUGWE (DIRECTOR OF SPORTS MEDICINE)
- **Authorized official phone:** (256) 372-8458

## Contact information

- **Practice address:** 4900 MERIDIAN STREE, NORMAL, AL 35762
- **Practice address phone:** (256) 372-4001
- **Mailing address:** PO BOX 1597, NORMAL, AL 35762-1597

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2013
- **Last updated:** 11/20/2013
