# SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Veterans Victory House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780850891
- **Authorized official:** VERSIE BELLAMY (DEPUTY DIRECTOR)
- **Authorized official phone:** (803) 935-5761

## Contact information

- **Practice address:** 2461 SIDNEYS RD, WALTERBORO, SC 29488-6783
- **Practice address phone:** (843) 838-3000
- **Practice address fax:** (843) 538-4216
- **Mailing address:** PO BOX 485, COLUMBIA, SC 29202-0485
- **Mailing address phone:** (803) 898-8405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 09/20/2019