CARROLLTON CBOC (3435)    INSTITUTION (4)

Name Value
NAME CARROLLTON CBOC
STATE GEORGIA
STREET ADDR. 1 180 MARTIN DRIVE
CITY CARROLLTON
ZIP 30117-2425
OFFICIAL VA NAME CARROLLTON CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CARROLLTON VA CLINIC
EFFECTIVE DATE/TIME
  • 2012-08-10 00:00:00
    STATUS:   ACTIVE
    NPI:   1669729570
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 508GK