Organization
RALPH H. JOHNSON VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ASHLEY MCDANIEL FOGG (PRIAMRY CARE SOCIAL WORKER)
(850) 685-0537
Entity
Organization
Contact information
Practice address
91 BOGARD ST, CHARLESTON, SC 29403-5230
(850) 685-0537
Mailing address
91 BOGARD ST, CHARLESTON, SC 29403-5230
(850) 685-0537
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
09/08/2007
Last updated
09/08/2007
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