ZZ-OLD EAST POINT VA CLINIC (3440)    INSTITUTION (4)

Name Value
NAME ZZ-OLD EAST POINT VA CLINIC
STATE GEORGIA
STREET ADDR. 1 1513 CLEVELAND AVE, #300
CITY EAST POINT
ZIP 30344-6951
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME EAST POINT 1 VA CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1174911200
  • 2024-05-16 00:00:00
    STATUS:   INACTIVE
    NPI:   1174911200
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 508QD