Organization
RALPH H. JOHNSON VA MEDICAL CENTER
Active
Parent organization
VAMC
Other names
VAMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAMC
Authorized official
DANIELLE RENEE STREAKS LMSW (SOCIAL WORKER)
(843) 789-7393
Entity
Organization
Contact information
Practice address
109 BEE ST., CHARLESTON, SC 29401
(843) 789-7393
Mailing address
8531 SENTRY CIRCLE, NORTH CHARLESTON, SC 29420
(843) 864-1554
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
11769
SC
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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