# AUGUSTA VAMC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STATESBORO VA CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437547569
- **Authorized official:** ERIN POTTER (NPI TEAM MEMBER)
- **Authorized official phone:** (202) 382-2579

## Contact information

- **Practice address:** 658 NORTHSIDE DR E, SUITE B, STATESBORO, GA 30458-4828
- **Practice address phone:** (828) 257-2333
- **Mailing address:** PO BOX 89454, CLEVELAND, OH 44101-6454
- **Mailing address phone:** (828) 257-2333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/23/2014
- **Last updated:** 04/12/2018