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Organization

SAMFORD UNIVERSITY

Active
Other names
Samford University Athletics
Organization subpart
No

Provider details

NPI number
Authorized official
HENRY B. BROCK III (VP, BUSINESS & FINANCIAL AFFAIRS)
(205) 726-2811
Entity
Organization

Contact information

Practice address
800 LAKESHORE DR, HANNA CENTER, RM 1105, BIRMINGHAM, AL 35229-0001
(205) 726-2811
Mailing address
800 LAKESHORE DR, HANNA CENTER, RM 1105, BIRMINGHAM, AL 35229-0001
(205) 726-2811

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
10/15/2012
Last updated
10/15/2012
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