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Organization
DORN VAMC
Active
Organization
DORN VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN GOLSON (SOCIAL WORKER)
(803) 776-4000
Entity
Organization
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
702 WHITEWATER DR, IRMO, SC 29063-7809
(803) 730-2463
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
5616
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V010600
SOCIAL WORKER
SC
Enumeration date
07/13/2007
Last updated
07/13/2007
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