Organization
ATL VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA JOHNSON (NURSE MANAGER)
(404) 321-6111
Entity
Organization
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
4657 BEXLEY DR, STONE MOUNTAIN, GA 30083-5560
(770) 808-1598
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
RN099782
GA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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