# CARL VINSON VAMC

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

## Provider details

- **NPI number:** 1104936939
- **Authorized official:** MS. SUSAN BEACHAM RN (NURSE MANAGER, PRIMARY CARE)
- **Authorized official phone:** (478) 272-1210

## Contact information

- **Practice address:** 1826 VETERANS BLVD, DUBLIN, GA 31021-3620
- **Practice address phone:** (478) 272-1210
- **Mailing address:** 1250 ACHORD RD, DUBLIN, GA 31021-0715
- **Mailing address phone:** (478) 275-9681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | RN069362 | GA | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020