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Contact Information

ATLANTA VA MEDICAL CENTER
1670 CLAIRMONT RD
DECATUR, GA30033-4004
 Phone: 404-321-6111
 Fax: 404-329-4632
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Care

163WP2201X
Indicates primary specialty

NPI Profile & details for ATLANTA VA MEDICAL CENTER · (Female)

NPI # 1306874219
Status Active
Credentials
Entity Individual
Enumeration date 06/29/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # R109830
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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