Valdosta State University
Valdosta State University is a Sports Medicine (Orthopaedic Surgery) Physician in Valdosta, Georgia. Registered with an NPI since 2011.
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
1500 N Patterson StValdosta, GA 31698-0100
Phone: (229) 333-5897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Orthopaedic Surgery) Physician (primary) | Taxonomy 207XX0005X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1962787804 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jay Johnson — Head Athletic Trainer · (229) 333-5897 |
| Other names | Valdosta State University Sports Medicine |
| NPI enumerated | October 11, 2011 |
| Last updated in NPPES | December 19, 2022 |
| Certification date | December 19, 2022 |
| Mailing address | 1500 N Patterson St, Valdosta, GA 31698-0100 |