PIKE COUNTY VA CLINIC (4414)    INSTITUTION (4)

Name Value
NAME PIKE COUNTY VA CLINIC
STATE GEORGIA
STREET ADDR. 1 9528 US HWY 19
CITY ZEBULON
ZIP 30295-9998
OFFICIAL VA NAME PIKE COUNTY VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ZEBULON VA CLINIC
EFFECTIVE DATE/TIME
  • 2022-02-10 00:00:00
    STATUS:   ACTIVE
    NPI:   1023762168
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 508GS
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   9424 US HIGHWAY 19
    CITY (CHANGED FROM):   ZEBULON
    STATE (CHANGED FROM):   GEORGIA
    ZIP (CHANGED FROM):   30295-9998