| Organization Name: | GEORGIA COLLEGE & STATE UNIVERSITY |
| NPI Number: | 1154758001 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL JONES (VP OF ADMINISTRATION & OPERATIONS) |
| Mailing Address: | 120 W Campus Dr Cbx 091 Milledgeville |
| State: | GA US |
| Postal Code: | 310611990 |
| Phone Number: | 4784455288 |
| Fax Number: | 4784453142 |
| NPI Enumeration Date: | 10/08/2013 |
| NPI Last Update Date: | 10/08/2013 |
| 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: | |