Jackson Vamc
NPI #1043250418 in Greenville, Mississippi
Provider Information
- NPI Number
- 1043250418
- Entity Type
- Organization
- Organization Name
- Jackson Vamc
- Primary Specialty
- Clinic/Center - VA
- Enumeration Date
- Jun 7, 2006
- Last Updated
- Oct 20, 2022
Practice Location
- Address
- 1651 HIGHWAY 1 S STE 1D
- City
- Greenville
- State
- Mississippi
- ZIP Code
- 38701-7803
- Phone
- (615) 355-3451
Authorized Official
- Name
- MRS. ERIN POTTER
- Title
- NPI TEAM MEMBER
- Phone
- (202) 382-2579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - VA — VA |
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