Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD HUGH MYRICK MD (MENTAL HEALTH SERVICE LINE SUPERVIS)
(843) 577-5011
Entity
Organization
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
3578
SC
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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