WINSTON-SALEM STATE UNIVERSITY NPI 1144649948

NPI Information

WINSTON-SALEM STATE UNIVERSITY is a student health clinic center in Winston Salem, NC. WINSTON-SALEM STATE UNIVERSITY NPI is 1144649948. The provider is registered as an organization entity type.
The provider Is Doing Business As Wssu Sports Medicine.

The provider's business location address is:

1250 S MLK JR DR
WINSTON SALEM, NC
ZIP 27107-370
Phone: (336) 750-2597

The provider's authorized official is Ian Mushinski .
The authorized official title is Head Athletic Trainer and has the following contact phone number (336) 750-2597.

The enumeration date for this NPI number is 4/9/2014 and was last updated on 4/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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