| Wssu Sports Medicine | |
|
1250 S Mlk Jr Dr Winston Salem NC 27107-1370 | |
| (336) 750-2597 | |
| Not Available |
| Full Name | Wssu Sports Medicine |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1250 S Mlk Jr Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | Ian Mushinski (HEAD ATHLETIC TRAINER) |
| Authorized Official Contact | 3367502597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wssu Sports Medicine 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (800) 555-9073 | Wssu Sports Medicine 1250 S Mlk Jr Dr Winston Salem NC 27107-1370 Ph: (336) 750-2597 |
| NPI Number | 1144649948 |
|---|---|
| Provider Enumeration Date | 04/09/2014 |
| Last Update Date | 04/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144649948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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