# MONTGOMERY VAMC

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

## Provider details

- **NPI number:** 1982074720
- **Authorized official:** ERIN POTTER (NPI TEAM)
- **Authorized official phone:** (202) 382-2579

## Contact information

- **Practice address:** 6635 BASS RD BLDG 9214, FORT MOORE, GA 31905-5602
- **Practice address phone:** (828) 257-2333
- **Mailing address:** PO BOX 89470, CLEVELAND, OH 44101-6470
- **Mailing address phone:** (828) 257-2333
- **Mailing address fax:** (828) 257-2399

## Taxonomy

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

## Other

- **Enumeration date:** 10/06/2015
- **Last updated:** 09/09/2024