# ATLANTA VA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093990731
- **Authorized official:** ALISON IANTHE MARSH (NURSING SUPERVISOR)
- **Authorized official phone:** (404) 321-6111

## Contact information

- **Practice address:** 1670 CLAIRMONT RD, DECATUR, GA 30033-4004
- **Practice address phone:** (404) 321-6111
- **Mailing address:** 1670 CLAIRMONT RD, DECATUR, GA 30033-4004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | — | Yes |

## Other

- **Enumeration date:** 12/31/2007
- **Last updated:** 12/31/2007