Organization · NPI-2

Abraham Baldwin Agricultural College

Clinic/Center, Student Health · Tifton, GA

NPI number1891038568
StatusActive
Last updated in NPPESApr 1, 2013

Details

NPI
1891038568
Entity type
Organization (NPI-2)
Legal business name
Abraham Baldwin Agricultural College
Organization subpart
No
Enumeration date
Apr 1, 2013
Last updated
Apr 1, 2013

Taxonomy and licenses

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

Other names

  • Abac Student Health Services (Other Name)

Practice location

2802 Moore Hwy
Abac 52
Tifton, GA 31793-5679

Phone 229-391-5030 · Fax 229-391-5031

Mailing address

2802 Moore Hwy
Abac 52
Tifton, GA 31793-5679

Phone 229-391-5030 · Fax 229-391-5031

Authorized official

John Clemens
Vp Planning & Operations
2293914875

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