Organization
ALEXANDRIA VAMC
Active
Other names
PINEVILLE VA MOBILE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM LEAD)
(202) 382-2579
Entity
Organization
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(615) 355-3451
Mailing address
PO BOX 94491, CLEVELAND, OH 44101
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/10/2023
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