# CARL VINSON VA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1760670731
- **Authorized official:** MS. JAN HASKINS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (478) 277-2804

## Contact information

- **Practice address:** 1826 VETERANS BLVD, DUBLIN, GA 31021-3620
- **Practice address phone:** (478) 272-1210
- **Mailing address:** 1826 VETERANS BLVD, DUBLIN, GA 31021-3620
- **Mailing address phone:** (478) 272-1210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | RN082069NP | GA | Yes |

## Other

- **Enumeration date:** 10/04/2007
- **Last updated:** 10/04/2007