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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FORT VALLEY STATE UNIVERSITY

Active Organization

Internal Medicine · FORT VALLEY, GA

Registration Details

NPI Number
1457737769
Provider Type
Organization
NPI Issued
Aug 10, 2015 (10.699676348909 yrs)
Last Updated
Aug 10, 2015

Practice Information

Address
1005 STATE UNIVERSITY DR
FORT VALLEY, GA, 310304313
Browse GA providers · Browse ZIP 31030
Phone
4788256195
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.