Organization
DORN VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LOGAN MD (C&P EXAMINER)
(803) 629-5568
Entity
Organization
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
504 GREAT NORTH RD, COLUMBIA, SC 29223-5153
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0116018503
VA
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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