| NAME |
WILMINGTON VA CLINIC (NC) |
| STATE |
NORTH CAROLINA |
| STREET ADDR. 1 |
1705 GARDNER ROAD |
| CITY |
WILMINGTON |
| ZIP |
28405-8873 |
| OFFICIAL VA NAME |
WILMINGTON VA CLINIC (NC) |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WILMINGTON VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1043253156
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
565GC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1043253156
-
- CODING SYSTEM: VASTANUM
- ID: 565GC
-
- CODING SYSTEM: CLIA
- ID: 34D2007430
|
