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NPI Code Detail

MEDICARE: MONTGOMERY VAMC

MEDICARE: MONTGOMERY VAMC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QV0200XVA Clinic/Center

General Provider Information

NPI Number : 1255383311
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONTGOMERY VAMC
Provider Business Mailing Address
First Line : PO BOX 89470
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-6470
Country : US
Telephone Number : 828-257-2333
Fax Number :
Provider Business Practice Location Address
First Line : 6910 RIVER RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-2316
Country : US
Telephone Number : 828-257-2333
Fax Number :
Authorized Official
Title or Position : NPI TEAM MEMBER
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 05/17/2006
Last Update Date : 08/10/2022

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Directions to “MONTGOMERY VAMC ” Practice Location

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