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Organization
CARL VINSON VA MEDICAL CENTER
Active
Organization
CARL VINSON VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN HASKINS (CREDENTIALING SPECIALIST)
(478) 277-2804
Entity
Organization
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
RN082069NP
GA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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