Organization
WJB DORN VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BOTROUS (STAFF PATHOLOGIST AP CLINICAL DIR.)
(803) 776-4000
Entity
Organization
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 865-8715
(803) 695-6772
Mailing address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 865-8715
(803) 695-6772
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
21332
SC
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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