Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEA MICHELLE WALKER (LPN)
(404) 808-3229
Entity
Organization
Contact information
Practice address
1401 POST OAK DR APT F, CLARKSTON, GA 30021-3145
(404) 808-3229
Mailing address
PO BOX 33622, DECATUR, GA 30033-0622
(404) 808-3229
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
LPN074690
GA
Other
Enumeration date
07/05/2007
Last updated
08/22/2020
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