Jackson Vamc

NPI #1528006152 in Natchez, Mississippi

Provider Information

NPI Number: 1528006152
Entity Type: Organization
Organization Name: Jackson Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jun 4, 2006
Last Updated: Oct 4, 2017

Practice Location

Address: 105 NORTHGATE RD
Address 2: SUITE 2
City: Natchez
State: Mississippi
ZIP Code: 39120-9162
Phone: (615) 355-3451

Authorized Official

Name: ERIN POTTER
Title: NPI TEAM MEMBER
Phone: (202) 382-2579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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