NORTH DEKALB COUNTY VA CLINIC (4416) INSTITUTION (4)

Name	Value
NAME	NORTH DEKALB COUNTY VA CLINIC
STATE	GEORGIA
STREET ADDR. 1	3101 CLAIRMONT ROAD NORTHEAST
CITY	BROOKHAVEN
ZIP	30329-1044
OFFICIAL VA NAME	NORTH DEKALB COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 7 PARENT FACILITY PARENT OF ASSOCIATION: ATLANTA VAMC
BILLING FACILITY NAME	BROOKHAVEN VA CLINIC
EFFECTIVE DATE/TIME	2019-08-31 00:00:00 STATUS: ACTIVE NPI: 1821628629
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	508QI