Albany State Sports Medicine

LBN: Albany State University
Albany State Sports Medicine is an health care organization with primary practice located at 504 College Dr , Albany GA 31705-2717. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Albany State University can be contacted via phone (972) 367-4845, or through Bass, Mouzon via phone (972) 367-4845.

Contact Information

Primary practice address
504 College Dr Albany GA 31705-2717
Fax:
Website:
Authorized official contact:
Name: Bass, Mouzon

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 008291 Georgia

Profile Details

NPI number 1598284408
LBN Legal business name Albany State University
DBA Doing business as Albany State Sports Medicine
Authorized official Bass, Mouzon
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2017
Last updated Sep 12th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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