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FORT VALLEY STATE UNIVERSITY NPI 1457737769


NPI Information

NPI: 1457737769
Provider Name: FORT VALLEY STATE UNIVERSITY

Doing Business As: FVSUSPORTS MEDICINE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1005 STATE UNIVERSITY DR
FORT VALLEY, GA
ZIP 31030
Phone: (478) 825-6195
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FORT VALLEY STATE UNIVERSITY is an internal medicine in Fort Valley, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. FORT VALLEY STATE UNIVERSITY NPI is 1457737769. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fvsusports Medicine.

The provider's business location address is:

1005 STATE UNIVERSITY DR
FORT VALLEY, GA
ZIP 31030-313
Phone: (478) 825-6195

The provider's authorized official is Mouzon Bass .
The authorized official title is Agent and has the following contact phone number (972) 367-4845.

The enumeration date for this NPI number is 8/10/2015 and was last updated on 8/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RS0010XInternal MedicineSports MedicineNo
2207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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