TIFTON VA CLINIC (3584)    INSTITUTION (4)

Name Value
NAME TIFTON VA CLINIC
STATE GEORGIA
STREET ADDR. 1 1824 RIDGE AVENUE NORTH
CITY TIFTON
ZIP 31794-9998
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME TIFTON VA CLINIC
EFFECTIVE DATE/TIME
  • 2016-07-15 00:00:00
    STATUS:   ACTIVE
    NPI:   1770836884
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 557GF