Organization
WJBD VA MEDICAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERREE LOUISE COLVIN LISW-CP (CHIEF SOCIAL WORK)
(803) 776-4000
Entity
Organization
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
190 WINDSOR PARK DR, LEXINGTON, SC 29072-7955
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
6289
SC
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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