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Organization
DEPT OF VETERANS AFFAIRS
Active
Organization
DEPT OF VETERANS AFFAIRS
Active
Other names
GOPC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD AIYUB KHAN MD (STAFF PHYSICIAN)
(864) 299-1600
Entity
Organization
Contact information
Practice address
3510 AUGUSTA RD, GREENVILLE, SC 29605-1302
(864) 299-1600
(864) 422-2604
Mailing address
3510 AUGUSTA RD, GREENVILLE, SC 29605-1302
(864) 299-1600
(864) 422-2604
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
4776
VT
Other
Enumeration date
09/28/2006
Last updated
06/26/2008
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