| NPI | 1073699286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN JOHNSON Clinical Pharmacist 404-321-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: MA 19217) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |