STOCKBRIDGE CBOC (3432)    INSTITUTION (4)

Name Value
NAME STOCKBRIDGE CBOC
STATE GEORGIA
STREET ADDR. 1 175 MEDICAL BOULEVARD
CITY STOCKBRIDGE
ZIP 30281-5083
OFFICIAL VA NAME STOCKBRIDGE CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME STOCKBRIDGE VA CLINIC
EFFECTIVE DATE/TIME
  • 2008-09-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1073769873
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 508GG