NE COBB COUNTY VA CLINIC (4412)    INSTITUTION (4)

Name Value
NAME NE COBB COUNTY VA CLINIC
STATE GEORGIA
STREET ADDR. 1 2217 ROSWELL RD, SUITE 114
CITY MARIETTA
ZIP 30062-2957
OFFICIAL VA NAME NE COBB COUNTY VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MARIETTA VA CLINIC
EFFECTIVE DATE/TIME
  • 2019-04-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1811551633
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 508GO