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Organization

DEPARTMENT OF DEFENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JEAN M BARIDO COL (DEPUTY COMMANDER FOR NURSING)
(803) 751-2119
Entity
Organization

Contact information

Practice address
4500 STUART ST, COLUMBIA, SC 29207-5700
(803) 751-2160
Mailing address
2000 N BELTLINE BLVD APT 313, COLUMBIA, SC 29204-3942

Taxonomy

Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
F337835-1
NY

Other

Enumeration date
03/05/2015
Last updated
03/05/2015
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