Organization
AASU SPORTS MEDICNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYDIA WILLIAMS ATC (HEAD ATHLETIC TRAINER)
(912) 414-0271
Entity
Organization
Contact information
Practice address
11935 ABERCORN ST, SAVANNAH, GA 31419-1909
(912) 344-2866
(912) 344-3420
Mailing address
11935 ABERCORN ST, SAVANNAH, GA 31419-1909
(912) 344-2866
(912) 344-3420
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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