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Organization

MOUNTAIN HOME VAMC

Active
Other names
Knoxville VA CBOC
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization

Contact information

Practice address
8033 RAY MEARS BLVD, KNOXVILLE, TN 37919-5458
(615) 355-3451
Mailing address
PO BOX 94516, CLEVELAND, OH 44101
(615) 355-3451

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary

Other

Enumeration date
01/25/2008
Last updated
09/07/2017
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