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Organization
DEPT OF VETERANS AFFAIRS
Active
Organization
DEPT OF VETERANS AFFAIRS
Active
Other names
McGuire VA Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SEPICH (DIRECTOR)
(804) 675-5000
Entity
Organization
Contact information
Practice address
1201 BROAD ROCK BLVD, 2L147, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-5667
Mailing address
1201 BROAD ROCK BLVD, 2L147, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-5667
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
0904007555
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904007555
LICENSED CLINICAL SOCIAL WORKER
VA
Enumeration date
10/28/2011
Last updated
10/28/2011
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