Jackson Vamc
NPI #1841232097 in Kosciusko, Mississippi
Provider Information
- NPI Number
- 1841232097
- Entity Type
- Organization
- Organization Name
- Jackson Vamc
- Primary Specialty
- Clinic/Center - VA
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Oct 4, 2017
Practice Location
- Address
- 405 W ADAMS ST
- City
- Kosciusko
- State
- Mississippi
- ZIP Code
- 39090-3617
- Phone
- (615) 355-3451
Authorized Official
- Name
- ERIN POTTER
- Title
- NPI TEAM MEMBER
- Phone
- (202) 382-2579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - VA — VA |
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