| NAME |
KERNERSVILLE VA CLINIC |
| STATE |
NORTH CAROLINA |
| STREET ADDR. 1 |
1695 KERNERSVILLE MEDICAL PARKWAY |
| CITY |
KERNERSVILLE |
| ZIP |
27284-7159 |
| OFFICIAL VA NAME |
KERNERSVILLE VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
KERNERSVILLE VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1073557559
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
659BY |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1073557559
-
- CODING SYSTEM: VASTANUM
- ID: 659BY
-
- CODING SYSTEM: CLIA
- ID: 34D0987420
|
