| NPI | 1053942474 |
|---|---|
| Other Name | MOUNTAIN CITY VA CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERIN DENISE POTTER Npi Lead 202-382-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center VA |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |