Organization
GCSU ATHLETIC TRAINING
Active
Parent organization
GEORGIA COLLEGE & STATE UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA COLLEGE & STATE UNIVERSITY
Authorized official
MR. PAUL P HIGGS ATC/LAT (ATHLETIC TRAINER)
(478) 445-1787
Entity
Organization
Contact information
Practice address
251 S CLARK ST, MILLEDGEVILLE, GA 31061
(478) 445-1787
(478) 445-1790
Mailing address
320 N WAYNE ST, CBX 65, MILLEDGEVILLE, GA 31061-2857
(478) 445-1787
(706) 497-6406
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
140
GA
Other
Enumeration date
08/12/2005
Last updated
10/02/2015
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