Organization
ATLANTA VAMC
Active
Other names
LAWRENCEVILLE 1 VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1970 RIVERSIDE PKWY, LAWRENCEVILLE, GA 30043-5937
(828) 257-2333
Mailing address
PO BOX 89498, CLEVELAND, OH 44101-6498
(828) 257-2333
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
04/11/2018
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