NPI Provider: 1124054317
Contact Name: Catchings Bishop Queen
Position: Charge Nurse
Phone: (404) 321-6111
Veterans Affairs Medical Center Information:
Veterans Affairs Medical Center organization have npi 1124054317, taxonomy code is 372600000X with license number is RN053192 in . This Business address located in 2731 Highway 212 SW, Conyers, GA 30094 Georgia.
Practice Location
Address: 2731 Highway 212 SW, Conyers, GA 30094
Phone: (678) 413-3812
Business Location
Address: 2731 Highway 212 SW, Conyers, GA 30094
Phone: (678) 413-3812
Fax: (678) 413-3812
Taxonomy
Taxonomy Code: 372600000X
License Number: RN053192
License Number of State: GA
Primary Taxonomy Switch: Y
Enumeration Date: 6/23/2006
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