ATLANTA DOM (3431)    INSTITUTION (4)

Name Value
NAME ATLANTA DOM
STATE GEORGIA
STREET ADDR. 1 1701 HARDEE AVE., SW
CITY ATLANTA
ZIP 30310-5110
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ATLANTA VA CARE SITE
EFFECTIVE DATE/TIME
  • 2013-12-02 00:00:00
    STATUS:   ACTIVE
    NPI:   1659739449
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 508BU