Department Of Veteran Affairs
Military Hospital in Lawrenceville, GA. Organization (NPI-2).
NPI number1982154241
StatusActive
Last updated in NPPESOct 11, 2016
Details
- NPI
- 1982154241
- Entity type
- Organization (NPI-2)
- Legal business name
- Department Of Veteran Affairs
- Organization subpart
- No
- Enumeration date
- Oct 11, 2016
- Last updated
- Oct 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 286500000X | Military Hospital | – | – | Yes |
Practice location
1122 Providence WayLawrenceville, GA 30046-3316
Phone 678-442-8619
Mailing address
1122 Providence WayLawrenceville, GA 30046-3316
Phone 678-442-8619
Authorized official
Cynthia Regina Collins
Social Worker
6784428619
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