Organization
CARL VISON VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VENOID VANN IRVIN REGISTERED NURSE (ICU STAFF NURSE)
(478) 277-2724
Entity
Organization
Contact information
Practice address
48 BLUEBERRY FARM ROAD, ADRIAN, GA 31002
(478) 668-4759
Mailing address
48 BLUEBERRY FARM ROAD, ADRIAN, GA 31002
(478) 668-4759
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
RN085341
GA
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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