Organization · Type 2 NPI
Fayetteville Vamc
VA Clinic/Center · Jacksonville, NC
NPI number
1124422308
Active
Practice location
306 Brynn Marr Rd
Jacksonville, NC 28546-7023
Mailing address
PO Box 89494
Cleveland, OH 44101-6494
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
Another provider at this address
Other va clinic/center providers in Jacksonville
About NPI 1124422308
Fayetteville Vamc's National Provider Identifier is 1124422308, issued on Oct 16, 2014. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Jacksonville, NC. The record was last updated on Apr 11, 2018.