Fvsusports Medicine

LBN: Fort Valley State University
Fvsusports Medicine is an health care organization with primary practice located at 1005 State University Dr , Fort Valley GA 31030-4313. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Fort Valley State University can be contacted via phone (478) 825-6195, or through Bass, Mouzon via phone (972) 367-4845.

Contact Information

Primary practice address
1005 State University Dr Fort Valley GA 31030-4313
Phone: (478) 825-6195
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bass, Mouzon
Phone: (972) 367-4845

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X

Profile Details

NPI number 1457737769
LBN Legal business name Fort Valley State University
DBA Doing business as Fvsusports Medicine
Authorized official Bass, Mouzon
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2015
Last updated Aug 10th, 2015 - about 10 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.

Request for update

Popular Providers