Organization
ATLANTA VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN JOHNSON RPH (CLINICAL PHARMACIST)
(404) 321-6111
Entity
Organization
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1112 DOVE VALLEY RD, DECATUR, GA 30032-2322
(404) 284-0782
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
19217
MA
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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