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MACON OCCUPATIONAL MEDICINE NPI 1669973186


NPI Information

NPI: 1669973186
Provider Name: MACON OCCUPATIONAL MEDICINE

Doing Business As: FORT VALLEY STATE UNIVERSITY STUDENT HEALTH SERVICES

Classification: Preventive Medicine - 2083X0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 11D0974999

Address:
1005 STATE UNIVERSITY DR
FORT VALLEY, GA
ZIP 31030
Phone: (478) 972-8900
Get Directions

MACON OCCUPATIONAL MEDICINE is an occupational medicine preventive medicine in Fort Valley, GA. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. MACON OCCUPATIONAL MEDICINE NPI is 1669973186. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fort Valley State University Student Health Services.

The provider's business location address is:

1005 STATE UNIVERSITY DR
FORT VALLEY, GA
ZIP 31030-313
Phone: (478) 972-8900

The provider's authorized official is Leonard Bevill .
The authorized official title is President/ceo and has the following contact phone number (478) 751-2900.

The CLIA number assigned to this NPI record is 11D0974999 - other - occupatinal health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2018 and was last updated on 2/21/2018.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083X0100XPreventive MedicineOccupational MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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