HENDERSON MILLS VA CLINIC (3439)    INSTITUTION (4)

Name Value
NAME HENDERSON MILLS VA CLINIC
STATE GEORGIA
STREET ADDR. 1 2296 HENDERSON MILL ROAD NE SUITE 402
CITY ATLANTA
ZIP 30345-2739
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ATLANTA 1 VA CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1669860888
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 508QC