# WM. BRYAN DORN VA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740555671
- **Authorized official:** MS. SYREETA NICOLE MILLER (REGISTERED NURSE)
- **Authorized official phone:** (803) 736-1270

## Contact information

- **Practice address:** 244 WILD OLIVE DR, COLUMBIA, SC 29229-8179
- **Practice address phone:** (803) 736-1270
- **Mailing address:** 244 WILD OLIVE DR, COLUMBIA, SC 29229-8179
- **Mailing address phone:** (803) 736-1270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | 87748 | SC | Yes |

## Other

- **Enumeration date:** 03/10/2012
- **Last updated:** 03/10/2012