TUCKER VA CLINIC (4417) INSTITUTION (4)

Name	Value
NAME	TUCKER VA CLINIC
STATE	GEORGIA
STREET ADDR. 1	2309 PARKLAKE DRIVE NE
CITY	ATLANTA
ZIP	30345-2914
OFFICIAL VA NAME	TUCKER VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 7 PARENT FACILITY PARENT OF ASSOCIATION: ATLANTA VAMC
BILLING FACILITY NAME	ATLANTA 2 VA CLINIC
EFFECTIVE DATE/TIME	2019-09-02 00:00:00 STATUS: ACTIVE NPI: 1790333649
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	508QJ