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Organization

DORN VAMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOREENE ANGELA GRIFFITH (QM/ UTILIZATION NURSE)
(803) 865-7990
Entity
Organization

Contact information

Practice address
9 WILTSHIRE CT, COLUMBIA, SC 29229-8762
(803) 865-7990
Mailing address
PO BOX 290843, COLUMBIA, SC 29229-0015
(803) 865-7990

Taxonomy

Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
R106246
SC

Other

Enumeration date
07/10/2007
Last updated
07/10/2007
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