Organization
GEORGIA SOUTHERN UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MASAR (AUTHORIZED OFFICIAL)
(847) 250-5470
Entity
Organization
Contact information
Practice address
THE HILL, 284 ANN HILL WAY, STATESBORO, GA 30458
(912) 513-1436
Mailing address
284 ANN HILL WAY, STATESBORO, GA 30458
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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