NPI | 1538799002 |
---|---|
Other Name | JACKSONVILLE 3 VA CLINIC |
Entity Type | Organization |
Authorized Contact | ERIN DENISE POTTER Npi Team Member 202-382-2579 |
Organization Subpart ? | No |
Primary Taxonomy | 261QV0200X Clinic/Center, VA |
Enumeration Date | 2020-01-23 |
Last Update Date | 2020-01-23 |