Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TELIA VIRGIN LCSW (SOCIAL WORKER)
(919) 841-3675
Entity
Organization
Contact information
Practice address
736 MEDICAL CENTER DR, SUITE 102, WILMINGTON, NC 28401-4170
(910) 763-5979
Mailing address
736 MEDICAL CENTER DR, SUITE 102, WILMINGTON, NC 28401-4170
(910) 763-5979
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
—
—
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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