| NAME |
WEST COBB COUNTY VA CLINIC |
| STATE |
GEORGIA |
| STREET ADDR. 1 |
333 MIDWAY RD NW |
| CITY |
MARIETTA |
| ZIP |
30064-5630 |
| OFFICIAL VA NAME |
WEST COBB COUNTY VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MARIETTA 1 VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1336183979
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
508GF |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1336183979
-
- CODING SYSTEM: VASTANUM
- ID: 508GF
-
- CODING SYSTEM: CLIA
- ID: 11D1008807
|
