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Organization
FAYETTEVILLE VAMC
Active
Organization
FAYETTEVILLE VAMC
Active
Other names
FAYETTEVILLE VA MOBILE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(615) 355-3451
Mailing address
PO BOX 94494, CLEVELAND, OH 44101
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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