OLD LAWRENCEVILLE VA CLINIC (3441) INSTITUTION (4)

Name	Value
NAME	OLD LAWRENCEVILLE VA CLINIC
STATE	GEORGIA
STREET ADDR. 1	1970 REIVERSIDE PARKWAY
CITY	LAWRENCEVILLE
ZIP	30043-5937
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 7 PARENT FACILITY PARENT OF ASSOCIATION: ATLANTA VAMC
BILLING FACILITY NAME	LAWRENCEVILLE 1 VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1528456654
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	508QE