Organization Name: | CLEMSON UNIVERSITY-REDFERN HEALTH CENTER |
NPI Number: | 1053437301 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE W. CLAY (EXECUTIVE DIRECTOR, STUDENT HEALTH) |
Mailing Address: | 735 Mcmillan Rd Clemson University Clemson |
State: | SC US |
Postal Code: | 296340001 |
Phone Number: | 8646562233 |
Fax Number: | 8646560760 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 04/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Student Health |
Taxonomy Definition: |