Organization
RALPH H. JOHNSON VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE CADY (MCCR SUPERVISOR)
(843) 789-6352
Entity
Organization
Contact information
Practice address
1 PINCKNEY BLVD, BEAUFORT VA PRIMARY CARE CLINIC, BEAUFORT, SC 29902-6122
(843) 770-0444
(843) 770-0808
Mailing address
1 PINCKNEY BLVD, PO BOX 6038-B, BEAUFORT, SC 29902-6122
(843) 770-0444
(843) 770-0808
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5601
SC
Other
Enumeration date
07/31/2006
Last updated
07/21/2022
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