Organization
CLAYTON STATE UNIVERSITY
Active
Other names
Clayton State Athletics
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ERLACHER (ATHLETIC DIRECTOR)
(678) 466-4672
Entity
Organization
Contact information
Practice address
2000 CLAYTON STATE BOULEVARD, MORROW, GA 30260-0285
(678) 466-5257
(678) 466-4699
Mailing address
2000 CLAYTON STATE BLVD, MORROW, GA 30260-1250
(678) 466-5257
(678) 466-4699
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
01/28/2020
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