Organization · Type 2 NPI
Jackson Vamc
VA Clinic/Center · Greenville, MS
NPI number
1043250418
Active
Practice location
1651 Highway 1 S Ste 1D
Greenville, MS 38701-7803
Mailing address
PO Box 94497
Cleveland, OH 44101-4497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
About NPI 1043250418
Jackson Vamc's National Provider Identifier is 1043250418, issued on Jun 7, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Greenville, MS. The record was last updated on Oct 20, 2022.