| Atl Va Medical Center | |
|
1670 Clairmont Rd Decatur GA 30033-4004 | |
| (404) 321-6111 | |
| Not Available |
| Full Name | Atl Va Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1670 Clairmont Rd, Decatur, Georgia |
| Authorized Official Name and Position | Anna Johnson (NURSE MANAGER) |
| Authorized Official Contact | 4043216111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atl Va Medical Center 4657 Bexley Dr Stone Mountain GA 30083-5560 Ph: (770) 808-1598 | Atl Va Medical Center 1670 Clairmont Rd Decatur GA 30033-4004 Ph: (404) 321-6111 |
| NPI Number | 1922119163 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922119163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | RN099782 (Georgia) | Primary |
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