# DEPT OF VETERANS AFFAIRS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOPC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174614531
- **Authorized official:** DR. MOHAMMAD AIYUB KHAN MD (STAFF PHYSICIAN)
- **Authorized official phone:** (864) 299-1600

## Contact information

- **Practice address:** 3510 AUGUSTA RD, GREENVILLE, SC 29605-1302
- **Practice address phone:** (864) 299-1600
- **Practice address fax:** (864) 422-2604
- **Mailing address:** 3510 AUGUSTA RD, GREENVILLE, SC 29605-1302
- **Mailing address phone:** (864) 299-1600
- **Mailing address fax:** (864) 422-2604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | 4776 | VT | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 06/26/2008