Winston-Salem State University
NPI #1144649948 in Winston Salem, North Carolina
Provider Information
- NPI Number
- 1144649948
- Entity Type
- Organization
- Organization Name
- Winston-Salem State University
- Primary Specialty
- Clinic/Center - Student Health
- Enumeration Date
- Apr 9, 2014
- Last Updated
- Apr 9, 2014
Practice Location
- Address
- 1250 S MLK JR DR
- City
- Winston Salem
- State
- North Carolina
- ZIP Code
- 27107-1370
- Phone
- (336) 750-2597
Authorized Official
- Name
- MR. IAN MUSHINSKI, ATC, LAT
- Title
- HEAD ATHLETIC TRAINER
- Phone
- (336) 750-2597
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Student Health — Student Health |
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