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Organization
VA MEDICAL CENTER
Active
Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA L. MCINTYRE (MEDICAL STAFF COORDINATOR)
(803) 776-4000
Entity
Organization
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
1083 LANGFORD RD, BLYTHEWOOD, SC 29016-9145
(803) 254-8527
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
22132
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22132
LICENSE
SC
Enumeration date
08/21/2006
Last updated
08/22/2020
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