Organization · NPI-2

Aasu Sports Medicne

Clinic/Center, Student Health · Savannah, GA

NPI number1215239934
StatusActive
Last updated in NPPESDec 1, 2010

Details

NPI
1215239934
Entity type
Organization (NPI-2)
Legal business name
Aasu Sports Medicne
Organization subpart
No
Enumeration date
Dec 1, 2010
Last updated
Dec 1, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1000X Clinic/Center, Student Health––Yes

Practice location

11935 Abercorn St
Savannah, GA 31419-1909

Phone 912-344-2866 · Fax 912-344-3420

Mailing address

11935 Abercorn St
Savannah, GA 31419-1909

Phone 912-344-2866 · Fax 912-344-3420

Authorized official

Lydia Williams
Head Athletic Trainer
9124140271

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