ZZ-EAST POINT VA CLINIC (3438)    INSTITUTION (4)

Name Value
NAME ZZ-EAST POINT VA CLINIC
STATE GEORGIA
STREET ADDR. 1 2675 NORTH MARTIN STREET, #700
CITY EAST POINT
ZIP 30344-6981
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME EAST POINT VA CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1205224425
  • 2021-04-30 00:00:00
    STATUS:   INACTIVE
    NPI:   1205224425
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 508QB