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Organization

GEORGIA COLLEGE & STATE UNIVERSITY

Active
Other names
Georgia College & State University Student Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN ALLEN (INTERIM SR VP FOR FINANCE AND ADMIN)
(478) 445-5148
Entity
Organization

Contact information

Practice address
120 W CAMPUS DR, CBX 091, MILLEDGEVILLE, GA 31061-1990
(478) 445-5288
(478) 445-3142
Mailing address
120 W CAMPUS DR, CBX 091, MILLEDGEVILLE, GA 31061-1990
(478) 445-5288
(478) 445-3142

Taxonomy

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

Other

Enumeration date
10/29/2012
Last updated
10/05/2015
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