DECATUR VA MOBILE CLINIC (4553)    INSTITUTION (4)

Name Value
NAME DECATUR VA MOBILE CLINIC
STATE GEORGIA
STREET ADDR. 1 1670 CLAIRMONT RD
CITY DECATUR
ZIP 30033-4004
OFFICIAL VA NAME DECATUR VA MOBILE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME DECATUR VA MOBILE CLINIC
EFFECTIVE DATE/TIME
  • 2023-09-27 00:00:00
    STATUS:   ACTIVE
    NPI:   1255110201
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 508QK
HISTORY