ZZ-DECATUR VA CLINIC (3437) INSTITUTION (4)

Name	Value
NAME	ZZ-DECATUR VA CLINIC
STATE	GEORGIA
STREET ADDR. 1	755 COMMERCE DRIVE #700
CITY	DECATUR
ZIP	30030-2621
OFFICIAL VA NAME	DECATUR VA CLINIC
INACTIVE FACILITY FLAG	INACTIVE
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 7 PARENT FACILITY PARENT OF ASSOCIATION: ATLANTA VAMC
BILLING FACILITY NAME	DECATUR VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1871981084 2020-02-19 00:00:00 STATUS: INACTIVE NPI: 1871981084
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	508QA