Augusta Vamc
Clinic/Center, VA in Statesboro, GA. Organization (NPI-2).
NPI number1437547569
StatusActive
Last updated in NPPESApr 12, 2018
Details
- NPI
- 1437547569
- Entity type
- Organization (NPI-2)
- Legal business name
- Augusta Vamc
- Organization subpart
- No
- Enumeration date
- Dec 23, 2014
- Last updated
- Apr 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QV0200X | Clinic/Center, VA | – | – | Yes |
Other names
- Statesboro Va Clinic (Other Name)
Practice location
658 Northside Dr ESuite B
Statesboro, GA 30458-4828
Phone 828-257-2333
Mailing address
Po Box 89454Cleveland, OH 44101-6454
Phone 828-257-2333
Authorized official
Erin Potter
Npi Team Member
2023822579
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