Organization
VALDOSTA STATE UNIVERSITY
Active
Parent organization
VALDOSTA STATE UNIVERSITY
Other names
Center For Exercise Medicine and Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
VALDOSTA STATE UNIVERSITY
Authorized official
MR. PAUL HIGGS LAT, ATC (DIRECTOR, ATHLETIC TRAINING CLINIC)
(229) 253-2890
Entity
Organization
Contact information
Practice address
2525 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 253-2890
Mailing address
1500 N PATTERSON ST, VALDOSTA, GA 31698-0100
(229) 245-2890
(229) 259-5129
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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