National Provider Identifier Database

AUGUSTA VAMC
VA


Contact Information

AUGUSTA VAMC
658 NORTHSIDE DR E
SUITE B
STATESBORO, GA30458-4828
Phone: 828-257-2333
Fax:
Website:
Specialty Taxonomy Code
* VA 261QV0200X

* Indicates primary specialty

NPI Profile & details for AUGUSTA VAMC

NPI Number 1437547569
Legal business name
LBN
AUGUSTA VAMC
Authorized official ERIN POTTER - (NPI TEAM MEMBER)
Entity Organization
Organization subpart No
Enumeration date 12/23/2014
Last updated 04/12/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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