# DEPARTMENT OF VETERANS AFFAIRS

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

## Provider details

- **NPI number:** 1780952978
- **Authorized official:** MR. TELIA VIRGIN LCSW (SOCIAL WORKER)
- **Authorized official phone:** (919) 841-3675

## Contact information

- **Practice address:** 736 MEDICAL CENTER DR, SUITE 102, WILMINGTON, NC 28401-4170
- **Practice address phone:** (910) 763-5979
- **Mailing address:** 736 MEDICAL CENTER DR, SUITE 102, WILMINGTON, NC 28401-4170
- **Mailing address phone:** (910) 763-5979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 12/02/2011
- **Last updated:** 12/02/2011