# ATLANTA VA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1255362729
- **Authorized official:** MR. ROBERT RAY ALEXANDER APRN (NURSE PRACTIONER)
- **Authorized official phone:** (404) 321-6111

## Contact information

- **Practice address:** 1670 CLAIRMONT RD, ATLANTA VA, DECATUR, GA 30033-4004
- **Practice address phone:** (404) 321-6111
- **Mailing address:** 4366 IDLEWOOD LN, TUCKER, GA 30084-6437
- **Mailing address phone:** (770) 712-8249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | RN 096164-NP | GA | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 11/04/2008