Organization
MOUNTAIN HOME VAMC
Active
Other names
JOHNSON CITY VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI LEAD)
(202) 382-2579
Entity
Organization
Contact information
Practice address
500 WASHINGTON AVE, JOHNSON CITY, TN 37604-5518
(615) 355-3451
Mailing address
PO BOX 94516, CLEVELAND, OH 44101-4516
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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