Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS MOUNTJOY BLACKMON MD (PHYSICIAN)
(404) 321-6111
Entity
Organization
Contact information
Practice address
VA MEDICAL CENTER ATLANTA, 1670 CLAIRMONT RD, DECATUR, GA 30033
(404) 321-6111
Mailing address
VA MEDICAL CENTER ATLANTA, 1670 CLAIRMONT RD, DECATUR, GA 30033
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
051434
GA
Other
Enumeration date
06/29/2006
Last updated
11/04/2008
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