Atlanta Vamc
Clinic/Center, VA in Jasper, GA. Organization (NPI-2).
NPI number1962050286
StatusActive
Last updated in NPPESAug 29, 2019
Details
- NPI
- 1962050286
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlanta Vamc
- Organization subpart
- No
- Enumeration date
- Aug 29, 2019
- Last updated
- Aug 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QV0200X | Clinic/Center, VA | – | – | Yes |
Other names
- Jasper Va Clinic (Other Name)
Practice location
934 E Church StJasper, GA 30143-1926
Phone 828-257-2333
Mailing address
Po Box 89498Cleveland, OH 44101-6498
Phone 828-257-2333
Authorized official
Erin Denise Potter
Npi Team Member
2023822579
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