Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CREWS (PROGRAM ANALYST)
(404) 321-6111
Entity
Organization
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
7963 HARMONY RIDGE LN, LITHONIA, GA 30058-1513
(678) 358-4639
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
MSW005664
GA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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