| NAME |
ATHENS (GA) CBOC |
| STATE |
GEORGIA |
| STREET ADDR. 1 |
9249 HWG 29 |
| CITY |
ATHENS |
| ZIP |
30601-6352 |
| OFFICIAL VA NAME |
ATHENS CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ATHENS VA CLINIC |
| ST. ADDR. 1 (MAILING) |
9249 HWG 29 |
| CITY (MAILING) |
ATHENS |
| STATE (MAILING) |
GEORGIA |
| ZIP (MAILING) |
30601-6352 |
| EFFECTIVE DATE/TIME |
-
- 2007-03-26 00:00:00
- STATUS: ACTIVE
- NPI: 1407909799
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
509GA |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 509GA
-
- CODING SYSTEM: CLIA
- ID: 11D1059910
|
