Organization
VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY T WILLIAMS (REGISTERED RESPIRATORY THERAPIST)
(843) 906-8203
Entity
Organization
Contact information
Practice address
138 FREMONT DR, SUMMERVILLE, SC 29483-7759
(843) 906-8203
Mailing address
138 FREMONT DR, SUMMERVILLE, SC 29483-7759
(843) 906-8203
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
116499
SC
Other
Enumeration date
12/01/2012
Last updated
12/01/2012
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