Georgia Southern University

NPI #1558615096 in Statesboro, Georgia

Provider Information

NPI Number: 1558615096
Entity Type: Organization
Organization Name: Georgia Southern University
Primary Specialty: Clinic/Center - Student Health
Enumeration Date: Nov 6, 2012
Last Updated: Nov 6, 2012

Practice Location

Address: 590 HERTY DRIVE
Address 2: ROOM 1216
City: Statesboro
State: Georgia
ZIP Code: 30458
Phone: (912) 478-7581

Authorized Official

Name: PAUL FERGUSON
Title: DIRECTOR
Phone: (912) 536-2239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Student Health — Student Health	261QS1000X	Primary

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