Organization · Type 2 NPI
Georgia Volunteer Health Care Program
Clinic/Center · Douglasville, GA
NPI number
1710437579
Active
Practice location
6744 Brookfield Way
Douglasville, GA 30134-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | RN128145 (GA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1710437579
Georgia Volunteer Health Care Program's National Provider Identifier is 1710437579, issued on Oct 5, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Douglasville, GA. The record was last updated on Oct 5, 2016.